Adult Exam 1: COPD Exam Solved 100% Correct!!
COPD - chronic obstructive pulmonary disease; includes chronic bronchitis & emphysema cigarette smoking - #1 cause of COPD COPD causes - occupational chemicals/dust; exposure to chemical warfare; war time conditions; air pollution; infection; genetics COPD manifestations - progressive dyspnea w/ exercise; cough w/ sputum production, weight loss, barrel chest, hypoxema, anorexia, fatigue, accessory muscle use, nasal flaring COPD diagnosis - Spirometry; chest x-ray; ABGs; six minute walk test; ECG; sputum test Drug therapy - bronchodilators (relax smooth muscles); corticosteroids; antibiotics Oxygen - As a nurse, you must give what to all COPD patients? CO2 - COPD develop a tolerance for a higher what? Lowest effective dose - Oxygen should be administered at what dose? 88-90% - What is goal O2 sat for COPD patient? PaO2 or SaO2 - Titrate oxygen based on what? Surgical therapy - lung volume reduction - COPD needs to be caught early for this to be an optionAirway clearance techniques - huff coughing; chest physiotherapy; postural drainage; percussion; percussion; pursed lip breathing; airway clearance devices
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