COPD
What is the primary cause of COPD
Smoking
Pt susceptible to what
Respiratory infections
Permananent
enzyme inhibitor
a-Antitrypsin
Abx prescribed
Broad Spectrum Antiobiotics
3 other causes of COPD
pollution
genetics
occupational
Difficulty Breathing
Dyspnea
Caused by airflow limitation
lack of elastic recoil in the lungs
Distorted angle of nail bed
Clubbing
Imbalanced nutritions Less than
Offer high-calorie, high-protein snacks between meals and at bedtime.
Aggravation of COPD Caused by
Infection
Stimulated by the Kidneys
Erythropoetin
Alveoli
WBC 12,500; Hct 67%; Hgb 28 g/dL; serum sodium 134 mEq/L
Polycythemia
Cause of respiratory Acidosis
Due to CO2 retention
muscles used to breath
accessory
Excessive RBC
polycythemia
Mucos causes
Obstruction of airflow
Two primary pathologic changes
loss of lung elasticity
hyperinflation of the lung
uPneumoccal
uInfluenza
Residual volume and total lung capacity
Ratio of < 70% suggests presence of obstructive lung disease
What causes exacerabation
Psychosocial NANDA
Social Isolation related to embarrassment from chronic coughing
Core Pulmonale
enlarged “R” ventricle due to work
- fibers & stretch
Goal of Pursed lip breathing
Prolongs exhalation and prevents bronchiolar collapse and air trapping