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COPD PT
COPD PT
COPD PT
Cigarette smoking
Primary cause of COPD***
disease
COPD
Causes
Infection
Major contributing factor to the aggravation
Fig. 28-7
Emphysema
Pathophysiology
Hyperinflation of alveoli
Destruction of alveolar walls
Narrowed airways
Most common
Progresses in severity
Patient will first complain of dyspnea
position
Emphysema
Clinical Manifestations
Patient is underweight (despite adequate
calorie intake)
Chronic Bronchitis
Pathophysiology
Pathologic lung changes are:
Hyperplasia of mucus-secreting glands
Disappearance of cilia
causing changes
Narrow airway lumen and reduced
airflow d/t
hyperplasia of mucus glands
Inflammatory swelling
Excess, thick mucus
Chronic Bronchitis
Pathophysiology
CO2
Frequently patients require O both at
2
rest and during exercise
Chronic Bronchitis
Pathophysiology
or asthma
Chronic Bronchitis
Clinical Manifestations
Earliestsymptoms:
Frequent, productive cough during
winter
Frequent respiratory infections
Chronic Bronchitis
Clinical Manifestations
Dyspnea on exertion
History of smoking
failure)
Pneumonia
COPD
COPD
Collaborative Care
Smoking cessation
Most significant factor in slowing the
Decreased hematocrit
Percussion
Vibration
Positions
Positions for Postural
for Postural Drainage
Drainage
Fig. 28-16
COPD
Collaborative Care
Surgical Therapy
Lung volume reduction surgery
Lung transplant
COPD
Collaborative Care
Nutritional therapy
Full stomachs press on diaphragm causing
dyspnea and discomfort
Difficulty eating and breathing at the same time
Nutritional therapy
Avoid gas-forming foods
High-calorie, high-protein diet is
recommended
Supplements
pathophysiologic complications of
respiratory impairment
Nursing Management
Nursing Implementation