lOMoAR cPSD| 23050439
STUDENT NAME _____________________________________Elizabeth Munoz
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________COPD
Assessing for compications & priority findings 10/30/21 Ch. 22
Ineffective breathing pattern COPD encompasses two diseases; emphysema and
Smoking cessation and avoiding exposure to second
Ineffective airway clearence chronic bronchitis. Emphysema causes destruction of
hand smoke.
Activity intolerance alveoli, leading to decreased surface area for gas
Wearing PPE while working in environments that
Imbalanced nutrition: less than body requires exchange, CO2 retention, and respiratory acidosis.
contain carcinogens or particles in the air.
Chronic bronchitis is an inflammation of the bronchi and
Influenza and pneumonia immunization
bronshioles due to chronic exposure to irritants.
In COPD low
Chronic dyspnea. RR can reach 40 to 50/ min during acute
Advance age r/t a decreased pulmonary reserve due to age-related
lung changes. excerbation. arterial levels of
Cigarrete smoking Productive cough, hypoxemia, crackles and wheezes, rapid and O2 serve as the
shallow respirations, Use of accessory muscles, Barrel chest,
AAT deficiency dependent edema secondary to RHF, pallor and cyanosis of nail beds primary drive for
and mucous membranes
Exposure to environmental factors like air pollution breathing. Most
cases, O2 should
be maintained
between 88%-92%
-Increased HCT; low O2 levels
-Sputum cultures and WBC counts to dx acute
-Pulmonary function tests
respiratory infections -Chest x-ray
-ABGs (hypoxemia; decreased PaO2 less than 80.
Hypercarbia; increased PaO2 greater than 45)
-AAT levels
-Blood electrolytes
--Respiratory infections
result from: from increased
Bronchodilators (inhalers):
Eat high-calorie foods to promote energy mucus production and poor
--Position high-Fowler's to max ventilation
--Encourage deep breathing and use of incetive Short acting beta2 agonist Rest as needed oxygenation levels.
spirometer provide rapid relief (such as Practice hand hygiene to prevent infection -Monitor for indications of
--Administer O2 as prescribed albuterol)
Take medications as prescribed infection with increases
--Promote adequate nutrition; increased work of
breathing increases caloric demands Cholinergic antagonist: (such as Stop smoking WBC, CPR, decreased
ipratropium) increased Obtain immunizations (influenza & pneumonia) to decrease risk of infection SaO2, high temp
bronchodilation and decreased
pulmonary secretions.
Long-acting meds used to --Right sided heart failure
prevent bronchospasms (cor pulmonale):
Anti-inflammatory agents: Airtrapping, airway collapse,
decrease airway inflammation still alveoli --> to increased
(Corticosteroids such as pulmonary pressures.
prednisone; monitor for adverse
effects; immunosuppression, Increase in workload leads
Chest physiotherapy: percussion and vibration fluid retention, hyperglycemia, Respiratory services to enlargement and
hypokalemia, poor wound thickening of the right atrium
Rasing the foot of the bed slightly higher than the healing) Nutritional services and ventricle.
head to facilitate drainage and removal of secretions
by gravity Mucolytic agents: help thin Rehabilitive care - Low O2 levels, cyanosis,
Humidifiers for who live in a dry climate or use dry
secretions Home care services tender liver, distended neck
heat during the winter. Support to client and family veins, dependent edema
STUDENT NAME _____________________________________Elizabeth Munoz
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________COPD
Assessing for compications & priority findings 10/30/21 Ch. 22
Ineffective breathing pattern COPD encompasses two diseases; emphysema and
Smoking cessation and avoiding exposure to second
Ineffective airway clearence chronic bronchitis. Emphysema causes destruction of
hand smoke.
Activity intolerance alveoli, leading to decreased surface area for gas
Wearing PPE while working in environments that
Imbalanced nutrition: less than body requires exchange, CO2 retention, and respiratory acidosis.
contain carcinogens or particles in the air.
Chronic bronchitis is an inflammation of the bronchi and
Influenza and pneumonia immunization
bronshioles due to chronic exposure to irritants.
In COPD low
Chronic dyspnea. RR can reach 40 to 50/ min during acute
Advance age r/t a decreased pulmonary reserve due to age-related
lung changes. excerbation. arterial levels of
Cigarrete smoking Productive cough, hypoxemia, crackles and wheezes, rapid and O2 serve as the
shallow respirations, Use of accessory muscles, Barrel chest,
AAT deficiency dependent edema secondary to RHF, pallor and cyanosis of nail beds primary drive for
and mucous membranes
Exposure to environmental factors like air pollution breathing. Most
cases, O2 should
be maintained
between 88%-92%
-Increased HCT; low O2 levels
-Sputum cultures and WBC counts to dx acute
-Pulmonary function tests
respiratory infections -Chest x-ray
-ABGs (hypoxemia; decreased PaO2 less than 80.
Hypercarbia; increased PaO2 greater than 45)
-AAT levels
-Blood electrolytes
--Respiratory infections
result from: from increased
Bronchodilators (inhalers):
Eat high-calorie foods to promote energy mucus production and poor
--Position high-Fowler's to max ventilation
--Encourage deep breathing and use of incetive Short acting beta2 agonist Rest as needed oxygenation levels.
spirometer provide rapid relief (such as Practice hand hygiene to prevent infection -Monitor for indications of
--Administer O2 as prescribed albuterol)
Take medications as prescribed infection with increases
--Promote adequate nutrition; increased work of
breathing increases caloric demands Cholinergic antagonist: (such as Stop smoking WBC, CPR, decreased
ipratropium) increased Obtain immunizations (influenza & pneumonia) to decrease risk of infection SaO2, high temp
bronchodilation and decreased
pulmonary secretions.
Long-acting meds used to --Right sided heart failure
prevent bronchospasms (cor pulmonale):
Anti-inflammatory agents: Airtrapping, airway collapse,
decrease airway inflammation still alveoli --> to increased
(Corticosteroids such as pulmonary pressures.
prednisone; monitor for adverse
effects; immunosuppression, Increase in workload leads
Chest physiotherapy: percussion and vibration fluid retention, hyperglycemia, Respiratory services to enlargement and
hypokalemia, poor wound thickening of the right atrium
Rasing the foot of the bed slightly higher than the healing) Nutritional services and ventricle.
head to facilitate drainage and removal of secretions
by gravity Mucolytic agents: help thin Rehabilitive care - Low O2 levels, cyanosis,
Humidifiers for who live in a dry climate or use dry
secretions Home care services tender liver, distended neck
heat during the winter. Support to client and family veins, dependent edema
