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Clinical Simulation in Nursing and Healthcare – Skills Practice,
Clinical Scenarios,
Simulation and
in Nursing
Exam Review
and Healthcare
Guide.pdf– Skills Practice,
Clinical Scenarios,
Simulation and
in Nursing
Exam Review
and Healthcare
Guide.pdf– Skills Practice, Scenarios, and Exam Review Guide.pdf
,Clinical Simulation.pdf Clinical Simulation Clinical Simulation.pdf
Terms in this set (329)
COPD Preventable and treatable disease state characterized by air flow
limitation that is not fully reversible.
Emphysema Presence of permanent enlargement of the air spaces distal to the
terminal bronchioles, accompanied by destruction of their walls and
without obvious fibroisis
Chronic bronchitis Chronic productive cough for three months in each of two successive
years in a pt for whom other causes of the productive cough have been
excluded
Etiology of COPD - tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Clinical Simulation.pdf Clinical Simulation.pdf Clinical Simulation.pdf
,Clinical Simulation.pdf Clinical Simulation Clinical Simulation.pdf
Pt Assessment of Emphysema Pt (Primary AKA pink puffer or Type A COPD
assessment) Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P diameter (Hoover's
Sign)
Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle
use, especially during exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
Body build of Type A COPD (pink puffer) Thin, underweight
Emphysema
Past medical history for emphysema pts Tobacco use
Cough (Emphysema) Less common, muciod secretions
Clinical Simulation.pdf Clinical Simulation.pdf Clinical Simulation.pdf
, Clinical Simulation.pdf Clinical Simulation Clinical Simulation.pdf
Appearance of the chest (Emphysema) Barrel chest, increased A-P diameter
Respiratory pattern ( Emphysema) Dyspnea, pursed lip breathing, accessory muscle use, especially during
exacerbations
Color (Emphysema) Often reddish
Clubbing (Emphysema) Late stage
Diagnostic Chet Percussion (Emphysema) Hyperresonant/tympanic note
Breath sounds ( Emphysema) Diminished, prolonged expiration
Clinical Simulation.pdf Clinical Simulation.pdf Clinical Simulation.pdf