Alteration in health (diagnosis) COPD |
pathophysiology related to client health In this the airway of the lungs become inflamed and thicken. This leads to decrease in and out of flow of air leads to distribution of less oxygen in the body tissues and more collection carbondioxide in the body. |
health promotion and disease prevention - advice for smoke cessation - Encourage to use mask whenever going outside in the polluted air. - Proper vaccination with influenza and pneumonia vaccines. |
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Assessment | |||
Risk factors -Advance age - exposure to the smoker - smoking -polluted air |
expected finding - dyspnea, hypoxia, barrel chest, sputum production, crackle and wheezing sounds, clubbing of nails, pallors. |
safety consideration - check the oxygen level frequently - Increase the caloric intake because they have increase respiratory demand. - Prevent from development of hypoxia by taking proper treatment on time. - |
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laboratory test - oxygen level, sputum culture, ABG analysiis |
diagnostic procedure Chest x ray - Pulmonary function test |
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patient care centered | |||
nursing care - Assess the oxygen level - provide fowlers position - Administer low dose of oxygen - suctioning of the sputum or secretion - Administer medication on time - educate regarding the breathing exercise - Advice to stop smoking |
medication -Bronchodilator, - albuterol (short acting) - Ipratropium (cholinergic antagonist) - theophylline - Corticosteroid - mucolytic agents - |
client education - educate regarding the disease condition and treatment - advice regarding the storage of smoking and prevent frm polluted air Educate regarding breathing exercise |
Complication -Sepsis - Respiratory failure |
therapeutic procedure - Bronchoscopy - Chest physiotherapy |
interprofessional care - there is need of doctor, pharmacist, physiotherapist, laboratory technisian. |
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