Show:
Pathophysiology
Interventions- Nursing
Medications- And what they do
S & S
Labs
100
What 2 conditions encompass COPD
Chronic bronchitis and emphysema
100
If your patient is having trouble breathing, what position should you put them in?
Tripod
100
What is a name of nebulizer treatment commonly used for COPD
Albuterol (Proventil)
100
What is the position that includes sitting down and leaning forward
Tripod position
100
What happens to the CO2 levels
increase
200
What the most common way to get COPD
SMOKING
200
How should you teach your patient with COPD to breath
Pursed Lip breathing
200
What type of drugs do nebulizers deliver (Name 3)
Bronchodilators, corticosteroids, antibiotics, anticholinergic agent, mucolytic agents, electrolyte supplements
200

What sounds do you auscultate with COPD

Crackles & wheezes

200
What may happen to glucose levels of a patient who has recently experienced a COPD exacerbation?
increase
300
What is the main breathing complication in a COPD patient
Exhaling CO2
300
What is the highest you want a COPD patient's O2 stat to be
90-93%
300
What is the mechanism of action of a corticosteroid
Anti-inflammatory agent
300
What does a COPDer present with in the thoracic region
Barrel Chest
300
Why would a COPD patient have low hemoglobin and hematocrit?
Fatigue, dyspnea, tachycardia (rt. work of breathing)
400
Who does it mainly affect (TWO answers- have to get both)
The elderly (50 and older) and men
400
What is the best teaching you can give your patient on how to prevent an exacerbation?
Smoking Cessation
400
What is the difference between a nebulizer and inhaler
Nebulizer makes the meds into a mist that goes directly into the lungs- medication is liquid Inhaler- aerosol form and inhaler may be dry powder form as well
400
What kind of cough does a COPDer have
Chronic and Productive
400
What other organ may be affected in the labs (acid- base balance)
Kidneys (C and BUN)
500
What can happen to diaphragm and why
The diaphragm can flatten, because of an excessive amount of CO2 than can never allow your lungs to fully relax and thus causing your diaphragm to stay in a state of constant contraction
500
How do you teach your patient how to use an incentive spirometer
Inhale slowly and try to make indicator rise to set goal, remove mouth piece and then hold breath for three seconds, exhale normally. Repeat 10-12 times a day if possible
500
Why would someone do a inhaled med vs. a an oral and what is the first pass effect
Its faster- first pass effect is when a concentration of a drug is greatly reduced before reaching systemic circulation (due to liver metabolism) PO ONLY
500
What do the limbs look like of someone who has COPD AND why
frail, thin- The accessory muscle use and the increased work of breathing
500
What is the important lab affected in a COPD patient AND why
Artieral blood gases (specifically CO2 arterial)- They show how well lungs are getting CO2 out and 02 in