Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! According to protease-antiprotease and oxidant-antioxidant theories heavy smoking results in imbalance between these enzymes result in damages to lung parenchyma and alveolar wall (Kumar, Abbas & Fausto, 2005). His history of these presenting complaints spans to last three months. The underlying pathophysiology of COPD is: Characterized by variations in all of the above. Blood pressure is 125/90, diastolic blood pressure slightly high. This is a preliminary assessment of the patient. The ambulance crew recorded four basic vital signs consisting of pulse, respiration. C. Pulmonary vasculature. His wife died in a car accident. The ambulance crew has considered a number of psychosocial and disease factors. Most patients with COPD receive outpatient treatment, the nurseshould develop a teaching plan to help them comply with the therapy and understand the nature of this chronic disease. Chlorthalidone dose may be increased if oedema is not relieved Physiotherapy of chest help expectorate and clear bronchial recreations (Haslett, Chilver, Boon & College, 2002). As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. There are two major life-threatening complications of COPD: respiratory insufficiency and failure. For Penicillin sensitive patients Clarithromycin 250 mg 12-hourly is used. Pulmonary function studies. Pulse rate is 100/min, regular and bounding. Hameed, 2003). Option B: Hypersecretion occurs due to the increase in the number of goblet cells. 3. Nothing in the environment appears harmful for the patient or ambulance staff. Option C: Infectious agents are part of the risk factors for emphysema but it is not the main factor. The neighbor once or twice a week visits him and gives him some company. In this case study patient is an eighty four year old man with COPD who has got respiratory tract infection and his disease has become severe. Cardiovascular system and other body system examination, There is right ventricular heave, ankle oedema, raised JVP and increased diastolic blood, pressure (90mmHg) showing right ventricular failure called cor- pulmonale (Sam, Baker &. This site shares best practices on guidance of COPD device selection, symptom assessment, patient education and counseling, and related materials for various stages of care. Wheezing is not an indicator of severity of disease and is often absent in stable, severe COPD… Clinical manifestations appear when one third of lung parenchyma is already damaged. Patient developed mild fever two days back, before that he gives no history of fever. 2. In COPD there is chronic inflammation of airways, lung parenchyma and pulmonary vasculature. Allergens. Ambulance has been called and ambulance crew has to reach the scene, conduct primary survey, secondary survey, manage the case and shift it to hospital if appropriate. Impaired Gas Excha… A variety of procedures, tests, and questionnaires can be used to evaluate patients with chronic obstructive pulmonary disease (COPD) for clinical and research purposes. *You can also browse our support articles here >. tion of COPD. The nurse must appropriately administer bronchodilators and corticosteroids and become alert for potential side effects. Please wait while the activity loads. The aim of management is to treat infection, reduce cyanosis, increase oxygen saturation in blood, decrease carbon dioxide saturation in blood and provide symptomatic relief to patient. These includes: The natural history of COPD is variable but is a generally progressive disease. On percussion, chest is hyper resonant and dullness over liver and cardiac area is reduced. Answer: D. Areas identified in all of the above. D. Cigarette smoking. Chronic bronchitis and emphysema belong to the old classification of COPD. Prevention of COPD is never impossible. No plagiarism, guaranteed! X-ray chest shows hyper-inflated lungs and CT scan shows lung bullae (Haslett, Chilver, Boon & College, 2002). This updated definition is a broad description of COPD and its signs and symptoms. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. The older adult has a long history that may include smoking or exposure to secondhand smoke, environmental exposures to asbestos or other pollutants, and illnesses such as chronic obstructive pulmonary … Nursing care planning for patients with COPD involves the introduction of a treatment regimen to relieve symptoms and prevent complications. 2. Then ambulance crew examines patient’s airway, and find lips and tongue blue due to cyanosis and secretions in the throat. Disclaimer: This essay has been written by a student and not our expert nursing writers. The room is well lit but untidy. He did not park their ambulance very correctly and left little space for other cars. There are two classifications of COPD: chronic bronchitis and emphysema. The patient has certain Presenting complaints (PC).These include worsening cough with sputum since seven days, breathlessness on Exertion since four days, Wheezing since four days, generalised weakness since two days, temperature since two days and breathlessness at rest since six hours.
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