Nursing
Interventions
Interventions
What does the diet for the pt with COPD look like?
high protein, high calorie, divided into 5-6 small meals (Saunders)
high fat, high calorie, small frq meals (Linton)
What are some of the earliest signs of C.O.P.D?
chronic cough
pt may report dyspnea upon exertion & heaviness on the chest
What could the ABGs of a pt w/ COPD indicate?
Respiratory Acidosis
What is the number one risk factor for COPD?
Smoking
How often is it reccomended that pt w/ COPD recieve the Flu and Pneumococcal vaccine?
Flu vaccine anually
Pnemo vaccine every 5 years
What's a non-invasive intervention that the nurse can teach to help the pt to breathe off C02 and improve 02 levels?
Pursed Lip breathing
What would the pn expect to see regarding the vitals of a patient with COPD?
tachycardia (high HR)
tachypnea (rapid respirations)
low 02
what is an adverse effect of albeuterol?
bronchospasms
What could the pn teach the pt to do during the day in order to prevent over exerting themselves?
Rest periods between activity.
Rest before meals. (30 min)
The pt asks the nurse "When will I be cured?", how does the nurse respond?
C.O.P.D is a chronic-progressive condition that will need to be managed for your whole life.
A patient with COPD is being started on oxygen therapy, how many Liters would be prescribed?
1-2 L via nasal cannula
When listening to the lung sounds of someone with C.O.P.D what could the nurse expect to hear?
Crackles and wheezing
What complications can occur in a pt with C.O.P.D r/t the heart?
- R sided heart failure
- cardiac arrythmias
-Cor Pulmonale
How would the nurse teach the pt to practice the Tri-pod position in order to ease breathing?
Sitting up, or on the edge of the bed with their arms propped on a table/surface while leaning forward
Demonstrate, video, picture, verbal explanation
Why is adminstering high flow oxygen to a pt with COPD contraindicated?
high levels of 02 are not adminstered because patients with COPD may rely on hypoxic drive to breathe. If so this would depress their breathing.
Respiratory Failure