Independent Interventions
Sit the head of bed up, encourage cough and deep breathing,
Collaborative Interventions
Sit head of bed up, cough and deep breathing, pursed lip breathing, encouraging rest periods
Collaborative Interventions
PT/OT, RT, dietician, pharmacological tx
Labs for lung cancer
CBC, CMP, liver function, sputum culture
Imaging for lung cancer
CT scan, chest x-ray, and bronchoscopy with biopsy
Imaging for COPD
Chest x-ray, CT scan, bronchoscopy
Labs
Hematocrit and Hgb, CBC, ABGs,
Assessments for lung cancer
Focused lung assessment-presence of cough, lung sounds, sputum
Pain assessment
Vital signs
Risk factors
Smoking, age, genetics, and environmental exposure to carcinogens
Relationship between lung cancer and COPD
Smoking is #1 risk factor for both diseases, manifestations are very similar, some treatments are the same
Risk factors
Smoking, genetics, age, long-term exposure to environmental irritants
Assessments
Focused lung assessment- wheezing, O2 sats
Perfusion- presence of edema
Complications
Pneumonia, pleural effusion, hemotypsis
Manifestations
Shortness of breath, fatigue, cough, and chest pain
SMART GOAL
Students will verbalize 2-3 medications to treat lung cancer by the end of the presentation
Manifestations
Barrel-shaped chest, shortness of breath, productive cough, fatigue, and chest pain
Complications
Right-sided heart failure, pneumonia, edema, HTN
Patient Education
Medications
Bronchodilators, chemotherapy, antibiotics, and analgesics
SMART GOAL
Students will verbalize 2-3 risk factors for lung cancer by the end of the presentation
Medications
Bronchodilators, corticosteroids, and antibiotics
Patient Education
Cough and deep breathing, pursed lip breathing, medication education, rest between activities