28-7, Emphysema Pathophysiology Hyperinflation of alveoli Destruction of alveolar walls Destruction of alveolar capillary walls Narrowed airways Loss of lung elasticity, Emphysema Pathophysiology Two types: Centrilobular (central part of lobule) Most common Panlobular (destruction of whole lobule) Usually associated with AAT deficiency, Emphysema Pathophysiology Structural changes are: Hyperinflation of alveoli Destruction of alveolar capillary walls Narrowed, tortuous small airways Loss of lung elasticity, Emphysema Pathophysiology Small bronchioles become obstructed as a result of Mucus Smooth muscle spasm Inflammatory process Collapse of bronchiolar walls Recurrent infections production/stimulation of neutrophils and macrophages release proteolytic enzymes alveolar destruction inflammation, exudate, and edema, Emphysema Pathophysiology Elastin and collagen are destroyed Air goes into the lungs but is unable to come out on its own and remains in the lung Causes bronchioles to collapse, Emphysema Pathophysiology Trapped air hyperinflation and overdistention As more alveoli coalesce, blebs and bullae may develop Destruction of alveolar walls and capillaries reduced surface area for O2 diffusion Compensation is done by increasing respiratory rate to increase alveolar ventilation Hypoxemia usually develops late in disease, Emphysema Clinical Manifestations Dyspnea Progresses in severity Patient will first complain of dyspnea on exertion and progress to interfering with ADLs and rest, Emphysema Clinical Manifestations Minimal coughing with no to small amounts of sputum Overdistention of alveoli causes diaphragm to flatten and AP diameter to increase, Emphysema Clinical Manifestations Patient becomes chest breather, relying on accessory muscles Ribs become fixed in inspiratory position, Emphysema Clinical Manifestations Patient is underweight (despite adequate calorie intake), Chronic Bronchitis Pathophysiology Pathologic lung changes are: Hyperplasia of mucus-secreting glands in trachea and bronchi Increase in goblet cells Disappearance of cilia Chronic inflammatory changes and narrrowing of small airways Altered fxn of alveolar macrophages infections, Chronic Bronchitis Pathophysiology Chronic inflammation Primary pathologic mechanism causing changes Narrow airway lumen and reduced airflow d/t hyperplasia of mucus glands Inflammatory swelling Excess, thick mucus, Chronic Bronchitis Pathophysiology Greater resistance to airflow increases work of breathing Hypoxemia and hypercapnia develop more frequently in chronic bronchitis than emphysema, Chronic Bronchitis Pathophysiology Bronchioles are clogged with mucus and pose a physical barrier to ventilation Hypoxemia and hypercapnia d/t lack of ventilation and O2 diffusion Tendency to hypoventilate and retain CO2 Frequently patients require O2 both at rest and during exercise, Chronic Bronchitis Pathophysiology Cough is often ineffective to remove secretions because the person cannot breathe deeply enough to cause air flow distal to the secretions Bronchospasm frequently develops More common with history of smoking or asthma, Chronic Bronchitis Clinical Manifestations Earliest symptoms: Frequent, productive cough during winter Frequent respiratory infections, Chronic Bronchitis Clinical Manifestations Bronchospasm at end of paroxysms of coughing Cough Dyspnea on exertion History of smoking Normal weight or heavyset Ruddy (bluish-red) appearance d/t polycythemia (increased Hgb d/t chronic hypoxemia)) cyanosis, Chronic Bronchitis Clinical Manifestations Hypoxemia and hypercapnia Results from hypoventilation and airway resistance + problems with alveolar gas exchange, COPD Complications Pulmonary hypertension (pulmonary vessel constriction d/t alveolar hypoxia & acidosis) Cor pulmonale (Rt heart hypertrophy + RV failure) Pneumonia Acute Respiratory Failure, COPD Diagnostic Studies Chest x-rays early in the disease may not show abnormalities History and physical exam Pulmonary function studies reduced FEV1/FVC and residual volume and total lung capacity, COPD Diagnostic Studies ABGs PaO2 PaCO2 (especially in chronic bronchitis) pH (especially in chronic bronchitis) Bicarbonate level found in late stages COPD, COPD Collaborative Care Smoking cessation Most significant factor in slowing the progression of the disease, COPD Collaborative Care: Drug Therapy Bronchodilators as maintenance therapy -adrenergic agonists (e.g. This plan guides you when youre feeling well and when an exacerbation (flare-up) is starting. The good news is COPD is often preventable and . Copyright 2023 Freepik Company S.L. Normally, the airways and air sacs in your lungs are elastic or stretchy. Causes and types of chronic obstructive . It appears that you have an ad-blocker running. COPD is the progressive and partially reversible COPD The NCCN 2023 Nursing Program: Advancing Oncology Nursing will provide oncology nurses with comprehensive and clinically relevant information to optimize patient education and care. By accepting, you agree to the updated privacy policy. Create stunning presentation online in just 3 steps. 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All our first aid presentations are free to download & use when delivering first aid training or classes. experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another. The presentation must educate advanced practice nurses on assessment and care/treatment, including . PPT layouts enhanced with lung - senior woman gets first aid background and a . Nurses beginning clinical practice in critical care and high acuity care areas. tintinalli chapter 73. copd definition. Ventolin) MDI or nebulizer preferred Anticholinergics (e.g. Download your copy here or use the interactive My COPD Action Plan in the COPD Pocket Consultant Guide (PCG) app (free for download in the App Store and Google Play). two distinct processes are, COPD - . Decreased quality of life. 20-23 June 2023 Dublin, Ireland. Cholelithiasis:Early diagnosis and prompt treatment. feeling excessively sleepy or confused. Energy-conserving tips are presented. . 2023 Spring Consortium: On-Demand. Do not sell or share my personal information, 1. Do not sell or share my personal information, 1. Provided by: Wad5. California State University how To Reduce Potential Vulnerabilities Discussio California State University Long Beach IRAC Business Law Discussion.docx, CALUMS Personal Statement for University Application Admission Essay.docx. epidemiology . 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. Youll like what you see! Role includes: -Develop and coordinate the 4 week critical care core program and align with up to date evidence based nursing practice. Views: 1320. COPD Chronic obstructive pulmonary disease (COPD) is a lung ailment that is characterized by a persistent blockage of airflow from the lungs. If you are preparing a presentation about it you can use this Slidesgo proposal. -System-wide nurse referral bonus program - earn up to $6000 per referral. review. We want to hear from you! possible areas to cover. Views: 355, By: DrDwayne Grace Parker (the patient's name has been changed) attends a nurse-led COPD clinic for routine reviews. -System-wide nurse referral bonus program - earn up to $6000 per referral. Nurse CHI Pulmonary and Sleep Medicine Jan 2022 - Present 1 year 3 months. The tri-fold card. The inclusion criteria for . Looks like youve clipped this slide to already. Sometimes patients need to have a blood test (calledarterial blood gas) to measure the amounts of oxygen and carbon dioxide in the blood. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Smoking is the most common cause. courtney pearce & jenna paterno . COPD. COPD. what to expect:. Find a support group in your area to connect with others living with COPD and to learn from educational presentations and . This booklet will help you plan for emergencies and stay safe during a disaster event. by espen gavin and zabihulla mirzai. Click here to review the details. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Chest X-ray. chronic bronchitis and Emphysema Aim: To synthesise qualitative research on pulmonary sequelae of COVID-19 and identify patient needs and experiences to develop nursing care strategies. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. overview of copd recap basic knowledge update, COPD - . Expert Help. Operating Room Nurse/ Clinical Research Nurse . Causes Most cases of COPD occur as a result . . Do not sell or share my personal information, 1. We've encountered a problem, please try again. GOLD Teaching Slide Set. PowerPlugs is a trademark of CrystalGraphics, Inc. mr. d has. British Journal of Nursing 17 (21). 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. Change size. rada jones md 09/12/06. Chronic obstructive pulmonary diseases & Nursing care. within 30 Days Required ; Scavenger Hunt Week 3, Choice 1 Here finally is your chance to see The many facets of creativity; Theories, presentations, lessons & such Without reality are nothing much. An X-ray can also rule out other lung problems or heart failure. 2003. definition. management of stable copd shyam rao may 2014. objectives . Looks like youve clipped this slide to already. Send us a message and help improve Slidesgo. Chronic Obstructive Pulmonary Disease or Chronic Obstructive lung disease. Chronic obstructive pulmonary disease (copd) by aseem, Chronic obstructive pulmonary disease (copd), Obstructive And Inflammatory Lung Disease. Clipping is a handy way to collect important slides you want to go back to later. American Lung Association; Better Breathers Club. The COPD Foundation's My COPD Action Plan should be filled out the first time as part of a discussion with your health care provider, and then used daily or as often as you can. By accepting, you agree to the updated privacy policy. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Be sure to update it periodically. The presentation must educate advanced practice nurses on assessment and . The app. 1.) Atrovent), COPD Collaborative Care: Oxygen Therapy O2 therapy Raises PO2 in inspired air Treats hypoxemia Titrate to lowest effective dose, COPD Collaborative Care: Oxygen Therapy Chronic O2 therapy at home Improved prognosis Improved neuropsychologic function Increased exercise tolerance Decreased hematocrit Reduced pulmonary hypertension, COPD Collaborative Care: Respiratory Therapy Breathing retraining Pursed-lip breathing Prolongs exhalation and prevents bronchiolar collapse and air trapping Diaphragmatic breathing Focuses on using diaphragm instead of accessory muscles to achieve maximum inhalation and slow respiratory rate See text re how to teach, COPD Collaborative Care: Respiratory Therapy Huff coughing (Table 28-21) Chest physiotherapy to bring secretions into larger, more central airways Postural drainage Percussion Vibration, Positions for Postural Drainage Fig. Oxygen Therapy Basics is intended to support individuals who are new to (or curious about) supplemental oxygen therapy. . 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