Provided by: Wad5. 28-16 Positions for Postural Drainage, COPD Collaborative Care Encourage patient to remain as active as possible, COPD Collaborative Care Surgical Therapy Lung volume reduction surgery Lung transplant, COPD Collaborative Care Nutritional therapy Full stomachs press on diaphragm causing dyspnea and discomfort Difficulty eating and breathing at the same time leads to inadequate amounts being eaten, COPD Collaborative Care Nutritional therapy To decrease dyspnea and conserve energy Rest at least 30 minutes prior to eating Use bronchodilator before meals Select foods that can be prepared in advance 5-6 small meals to avoid bloating Avoid foods that require a great deal of chewing Avoid exercises and treatments 1 hour before and after eating, COPD Collaborative Care Nutritional therapy Avoid gas-forming foods High-calorie, high-protein diet is recommended Supplements Avoid high carbohydrate diet to prevent increase in CO2 load, Nursing Management Nursing Diagnoses Ineffective airway clearance Impaired gas exchange Imbalanced nutrition: less than body requirements Disturbed sleep pattern Risk for infection, Nursing Management Nursing Implementation Health Promotion STOP SMOKING!!! Nurse CHI Pulmonary and Sleep Medicine Jan 2022 - Present 1 year 3 months. Blood gases drawn on room air revealed these values: patient 1- pH =7.18, PCO2 = 70mmHg, PO2=50mmHg, HCO3=24mEq/L; patient2- pH =7.31, PCO2=50mmHg, PO2=50mmHg, HCO3=25mEq/L, Comment The A-a gradient calculation for patient 1 is as follows: A-a DO2 = PAO2 PaO2 PAO2 = 150 (1.25x PCO2) PAO2 = 150 (1.25x 70) PAO2 = 62 A-a =62 50 A-a = 12. At the end of the end of the 16th International Family Nursing Conference, attendees should be able to discuss global advancements in family nursing education for students and professionals. CHANGE IN COLOUR OF SPUTUM . Takeaway. Contact Hours: 42.5 This nursing continuing professional development activity was approved by the American Association of Critical-Care Nurses, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. . Background: If current trends in the management of COPD do not change, the predicted 4.5 million Australians diagnosed with COPD by 2050 will place significant burdens on already over-utilised frontline ED services. Pulmonary Disease Looks like youve clipped this slide to already. COLD exacerbation Bacterial infections Streptococcus pneumoniae Haemophilus influenzae Moraxella catarrhalis Mycoplasma pneumoniae or Chlamydia pneumoniae (510% of exacerbations) Viral infections (one-third) No specific precipitant identified (2035%), Symptoms & Signs 3 most common: Cough Sputum production Exertional dyspnea, frequently of long duration, signs and symptoms Dyspnea at rest Prolonged expiratory phase and/or expiratory wheezing on lung examination Decreased breath sounds Barrel chest Large lung volumes and poor diaphragmatic excursion, as assessed by percussion Use of accessory muscles of respiration Pursed lip breathing (predominantly emphysema) Characteristic "tripod" sitting position to facilitate the actions of the sternocleidomastoid, scalene, and intercostal muscles Cyanosis, visible in lips and nail beds. mr. d has. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. NURSE NP. -Continuous evaluation of classes and the course to . Get powerful tools for managing your contents. COPD Description Characterized by presence of airflow obstruction Caused by emphysema or chronic bronchitis Generally progressive May be accompanied by airway hyperreactivity May be partially reversible. The good news is COPD is often preventable and . Hypertensionor high blood pressurecan happen steadily over long periods of time and have no clear cause, called primary hypertension,. management of stable copd shyam rao may 2014. objectives . By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. COPD Foundation Information Line: (866) 316-COPD (2673) Call to learn more about COPD and talk to people who understand the effect COPD has on your life. senario. COPD 1 / 32. Enhanced Discharge Process to Reduce 30-Day COPD Readmission Rates: A Quality Improvement Project. Activate your 30 day free trialto unlock unlimited reading. advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. Barnett, M. (2008). We've encountered a problem, please try again. California State University Long Beach Chinese HRM Practices Literature Revie California State University Fresno Artwork Symbolic Analysis.docx, California State University when It Is Acceptable when It Is.docx, California State University Fresno Men have Forgotten God Summary.docx, California Sutter Health nursing assignment tutor.docx, California State University Corporate Social Responsibility Discussion.docx, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Copd 1. diagnosis initial investigation, COPD - . Change size. The SlideShare family just got bigger. Epidemiology Age Higher prevalence with increasing age Doseresponse relationship between cigarette smoking intensity and decreased pulmonary function, Risk Factors Cigarette smoking is a major risk factor. Transcript. Chronic Obstructive Pulmonary Disease . Click here to review the details. It is characterized by airflow limitation that is not completely reversible. The air buildup puts pressure on the lung (s), so it cannot expand as much as it normally. A CT scan of your lungs can help detect emphysema and help determine if you might benefit from surgery for COPD. Goal: Develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the McCance text. And/or June 2023. Views: 1320. pulmonary diseases. Uploaded on Sep 27, 2014. Asthma Reduced forced expiratory volume in 1 second (FEV1) in COLD seldom shows large responses (>30%) to inhaled bronchodilators, although improvements up to 15% are common. COPD - . cydnee patterson, ali lubbers, nicole newinger , heidi proudfoot & kaitlin oudshoorn. COPD is often evaluated in patients with relevant symptoms and risk factors. Muhammad Arslan Yasin Sukhera. Chronic Obstructive Pulmonary Disease - COPD. If you have COPD, using less energy with daily tasks can help you have more energy to do more activities during the day. If you are preparing a presentation about it you can use this Slidesgo proposal. CT scan. juliana tambellini university of pittsburgh. For health care professionals, hard copies of the COPD Pocket Consultant Guide, including the treatment decision tree, seven COPD severity domains, the CAT, the mMRC Breathlessness Scale, and listings of brand or generic medications are available for download below. Virus Transmission-Understanding and Predicting Pandemic Risk, Small Cell Lung Cancer (SCLC): Diagnosis Treatment and Natural History, Current Management of Hereditary Angioedema - Considerations to Optimize Individualized Care. Causes and types of chronic obstructive . Role includes: -Develop and coordinate the 4 week critical care core program and align with up to date evidence based nursing practice. Every COPD patient has an anticipatory care plan which is created by their GP . a disease state characterized. Emphysema 10. Both have ingested substantial amounts of barbiturates and diazepam. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Continuation Obese patients also need increased physical exercises monitored by nurses. COPD - . Learn faster and smarter from top experts, Download to take your learnings offline and on the go. tintinalli chapter 73. copd definition. 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Chronic obstructive pulmonary disease, also known as COPD, encompasses a group of diseases that cause problems with breathing. Presentation Transcript. You can read the details below. It appears that you have an ad-blocker running. . In the United States alone it affects about 16 million people. This flyer will give you helpful tips and tools for staying healthy, avoiding illness, and recognizing early warning signs of an infection or flare-up. Our beautiful, affordable PowerPoint templates are used and trusted . Aim: To describe for areas of improvement in the management of COPD and reduction in emergency department presentations in Queensland. Now customize the name of a clipboard to store your clips. courtney pearce & jenna paterno . The air is therefore trapped in the lungs, making it hard for the lungs to send the right amount of oxygen to the rest of the body (McCance & Huether, 2019). Chronic obstructive pulmonary diseases COPD is also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD) Chronic obstructive pulmonary disease (COPD . PowerPlugs is a trademark of CrystalGraphics, Inc. Epidemiology Sex Higher prevalence in men, probably secondary to smoking Prevalence of COLD among women is increasing as the gender gap in smoking rates has diminished. 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COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. In the health care provider view, users can access the CAT and mMRC Breathlessness Scale; an evidence-based therapy flowchart; COPD medications lists; inhaler and nebulizer education videos; and much more. Objective data is also assessed. Systemic wasting Significant weight loss Bitemporal wasting Diffuse loss of subcutaneous adipose tissue Paradoxical respiration Inward movement of the rib cage with inspiration (Hoover's sign) in some patients "Pink puffers" are patients with predominant emphysemano cyanosis or edema, with decreased breath sounds. Designed to support NPs in primary care who play a crucial role in the management of patients with PAH, a rare, complex disease this tool explains the clinical presentations of PAH, provides an overview of treatment options and identifies when patients should be referred to pulmonary hypertension (PH) centers. While you should always discuss treatments with your health care provider, this poster covers currently-approved treatment options. Download GOLD Teaching Slide Set. Widescreen (16:9) Presentation Templates. What is hypertension? He states he has been out of his medications for about 3, This week's content addresses common techniques and testing that can be prescribed by the Nurse Practitioner. Y4! t/_:]I#k,^#?&&z,$\Te"I~GJdIn(7#,+}z/I86sbV7Nw4-"erbO2Zcl-1z~cw{+htMFj;*$RQm=@9i!emM}guOs\7+hc~#uM=iM%:-:;tt >*b/)2kc/):f3c:fc:f8W):NR#iK|bj,YT=^i31:_uWYY]Fte#0&? airflow limitation that is progressive and not fully reversible abnormal, COPD- pulmonary hyperinflation- the diaphragms are at the, Occupational exposures to dust and fumes (e.g., cadmium), Distributions of forced expiratory volume in 1 s. The disease affects millions of Americans and is a leading cause of disability and death in the U.S. Nursing management of chronic obstructive pulmonary disease. Number of Views: 87. Slides: 36. Skilled nursing in-services; Presentations regarding Medicare part D . Mr. ANILKUMAR B R , Lecturer Comment The calculation reveals a normal gradient, indicating that the etiology for hypoxemia and hypoventilation is extrinsic to the lung itself. all you wanted to know about copd but were afraid to ask. Chronic Bronchitis Chronic lower airway inflammation Increased bronchial mucus production Productive cough Urban male smokers > 30 years old, Chronic Bronchitis Mucus, swelling interfere with ventilation Increased CO2, decreased 02 Cyanosis occurs early in disease Lung disease overworks right ventricle Right heart failure occurs RHF produces peripheral edema Blue Bloater, Emphysema Loss of elasticity in small airways Destruction of alveolar walls Urban male smokers > 40-50 years old, Emphysema Lungs lose elastic recoil Retain CO2, maintain near normal O2 Cyanosis occurs late in disease Barrel chest (increased AP diameter) Thin, wasted Prolonged exhalation through pursed lips Pink Puffer, COPD Management Oxygen Monitor carefully Some COPD patients may experience respiratory depression on high concentration oxygen Assist ventilations as needed, Diagnostic Approach Initial assessment History and physical examination (Signs & Symptoms) Pulmonary function testing to assess airflow obstruction Radiographic studies, Assessment of exacerbation History Fever Change in quantity and character of sputum ill contacts Associated symptoms Frequency and severity of prior exacerbations, Assessment of exacerbation Physical examination Tachycardia Tachypnea Chest examination Focal findings Air movement Symmetry Presence or absence of wheezing Paradoxical movement of abdominal wall Use of accessory muscles Perioral or peripheral cyanosis Ability to speak in complete sentences Mental status, Radiographic studies Chest radiography focal findings (pneumonia, atelectasis) Arterial blood gases Hypoxemia Hypercapnia Hospitalization recommended for: Respiratory acidosis and hypercarbia Significant hypoxemia Severe underlying disease Living situation not conducive to careful observation and delivery of prescribed treatment, ABG and oximetry Although not sensitive, they may demonstrate resting or exertional hypoxemia. 2014. objectives skilled nursing in-services ; presentations regarding Medicare part D Readmission Rates: a Quality Project... 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