What is my pack history?
COPD therapy
Nursing Interventions
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Values
100
Jonny smoked 3 packs a day from ages 27 until 39.
What is a 36 pack history.
100
What are mucolytics?
These drugs thin the secretions so the COPD patient has an easier time coughing and expelling the secretion.
100
What position should your COPD patient be in and why?
High fowlers because you want them to be able increase their chest their chest expnasion to the maximum amount by placing the diaphram in the proper position.
100
What is the maximum level of oxygen for a COPD patient and why?
2L of oxygen because of the CO2 drive.
100
What lab value would be an indication of an infection?
WBC count.
200
Sally smoked 2 packs a day from age 30 until 45 and 3 packs a day from age 45-47.
What is a 36 pack history.
200
Name three of the types of drugs used to manage COPD
Possible answers: beta-adrenergic agents cholinergicc antagonists xanthines corticosteriods chromones
200
What type of breathing excercises would you teach your COPD patient?
Cough and Deep Breathing
200
What is a physical manifestation seen on the fingers of COPD patients?
Clubbing
200
Normal Spo2 levels are 95-100%. What is the minimum Spo2 for a COPD patient?
What is 88%
300
James smoked half a pack a day for 22 years and 1 pack a day for 6 years.
What is a 17 pack history.
300
True or false: suctioning should be performed on a rountine schedule.
False. Suctioning should be performed as needed.
300
What tool would you give your patient to increase lung expansion to reduce risk of pnemonia?
Incentive Spirometer.
300
What shape of the chest is seen in COPD patients?
What is Barrel Chest.
300
What is the degree of clubbing on the finger of a patient with COPD?
180 degrees
400
Amy smoked half a pack a day starting from age 15 until she was 34.
What is a 9.5 pack history.
400
COPD patients should drink how much water per day?
Atleast 2 to 3 L/day.
400
In pursed-lip breathing, what is the ratio of inhalation to exhalation?
1:2
400
True or false: Capillary refill will be under 2 seconds in COPD patients.
False
400
pH is 7.25 HCO3 is 21 PACO2 is 49
What is Respiratory Acidosis?
500
Debbie smoked half a pack a day from ages 16-22. She smoked one pack a day from ages 22-41. She smoked 3 packs a day from ages 41 until her death at age 49.
What is a 46 pack history.
500
True or false: exercise can benefit people even with severe cases of COPD
True
500
How should the nurse ensure the patient doesnt lose weight?
Encourage high calorie, high protein foods.
500
True or False: COPD is seen more often in older women than men.
False
500
Name any two electrolytes that reduce muscle strength in patients with COPD?
-Calcium -Magnesium -Phosphate -Potassium
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