Emphysema
What type of Co2 Retention is there?
Increase CO2 Retention
All of these will increase with this condition?
Sputum production, PCo2, Hbg, Resp Rate
Heat/cold
Heat increases the body temp, therby raising oxygen requirements.
cold tends to promote bronchospasm
What type of rate does this disease progressive?
PReventable and treatable slowly progressive,
How can you improve ventilation?
Bronchodilators, Corticosteriods, Purse lip breathing, oxygen therapy
What kind of chest will this patient have?
Barrel Chest
Types of fingernails?
Clubbing
What is the #1 thing to have our patients do to help with COPD?
Stop Smoking
Chronic Bronch: What is being destoryed?
Chronic infammation and swelling of bronchial mucosa
What would you use to remove bronchial secretions?
Mucolytics
How will this type of patient speak?
Short Jerky Sentences
What type of acid/ base will this patient be in?
Respiratory Acidosis
Some Complications with COPD?
Hypoxemia/tissue anoxia
acidosis
respiratory infections
Cardiac failure
Chronic Bronchitis:
What cells are hypertrophy?
Goblet Cells
Improve Health
wt loss
nutrition
exercise: (depending on persons tolerance with and without oxygen)
What is this type of patient called?
Pink Puffer or Blue Bloater
Pink Puffer
What type of color will this patient have?
Cyanotic
Something patients should do to help with copd
rest and sleep schedule
Emphysema
What happens overall with this disease?
Inflammatory cells release proteolytic enzymes which damage alveolar tissue
What are some diagonis test?
CxR
PFT
ABG's
ECG
Labs
What type of muscles does this patient use?
Accessory Muscles- lifting shoulders
Leads to what type of Heart Failure?
Right Sided
Surgical Postoperative
assess CXR, chest tubes
agressive pulmomary toliet
manage pain
Emphysema
Due to loss of alveolar walls and air trapping, what happens?
Bullae forms which decrease gas transport function of lungs
Surgical Tx
Bulletomy
Lung transplant
Lung volume reduction surgery ( remove part pf the lung damage by emphysema