Genetic component /deficiency of asthma and Airflow obstruction, chronic inflammatory
COPD Asthma – allergens and triggers, IgE
COPD – emphysema and bronchitis, alpha
antitrypsin deficiency
Dyspnea – trouble breathing
COPD exacerbation/ asthma attack – goals High fowlers position, calm and reassuring
instead of oxygen therapy demeanor, frequent rest, breathing techniques,
O2 sat, oxygen use, humidifier
COPD – appropriate oxygen and what could Low flow, long term O2 therapy (15hr/day),
happen if you go over the oxygen amount 2-5 L of oxygen nasal cannula
recommended Hypercapnia can occur with too much oxygen
= unable to exhale enough CO2
Pulmonary fxn test for diagnosis of asthma Spirometry - determines effectiveness of
and COPD nursing teaching/considerations therapy
Diagnostic criteria – indication of asthma and Don’t use bronchodilator 6-12 hours before,
COPD you will use it before the test
12% increase in values = asthma
Theophylline common side effects/ symptoms Brochodilator
of toxicity N/V, seizures, insomnia
Pt teaching – avoid what Avoid caffeine to prevent intensifying adverse
effects
Asthma attack – rescue med and how often to Difficulty breathing and can’t get enough air
take and when (during what symptoms), -SABA – albuterol for mild and moderate
rescue plan exacerbation
Pts are instructed to take 2 to 4 puffs of
albuterol every 20 minutes 3 times to gain
rapid control of symptoms
Corticosteroids – therapeutic effect and (-sone) Decreases airway inflammation, long
adverse effect, long term effect and why not term use can cause cushings (moon face,
stop abruptly hump back), short term use causes sleep
disturbance and increased appetite
Stopping abruptly can cause adrenal
insufficiency
Three types of antinflammatory meds Corticosteroids
Leukotriene antagonists – Singulair
Anti IgE - Xolair
How to use inhaled corticosteroids – pt Use spacer with MDI
teaching – after inhalation do what Gargle and rinse mouth after use
Central cyanosis Look at oral mucosa – most reliable
What to do to help with secretions Increase fluid intake to 2-3L/day
Nutritional therapy for COPD Increase calories and protein
COPD help with dyspnea – activity teaching, Exercise conditioning - Walk daily with rest
breathing retraining periods, be on the bottom for sex
Breathing retraining – pursed lip breathing,
diaphragmatic breathing
This study source was downloaded by 100000812546443 from CourseHero.com on 11-21-2023 13:07:38 GMT -06:00
https://www.coursehero.com/file/30660479/Nurs-201-quiz-3-SGdocx/
COPD Asthma – allergens and triggers, IgE
COPD – emphysema and bronchitis, alpha
antitrypsin deficiency
Dyspnea – trouble breathing
COPD exacerbation/ asthma attack – goals High fowlers position, calm and reassuring
instead of oxygen therapy demeanor, frequent rest, breathing techniques,
O2 sat, oxygen use, humidifier
COPD – appropriate oxygen and what could Low flow, long term O2 therapy (15hr/day),
happen if you go over the oxygen amount 2-5 L of oxygen nasal cannula
recommended Hypercapnia can occur with too much oxygen
= unable to exhale enough CO2
Pulmonary fxn test for diagnosis of asthma Spirometry - determines effectiveness of
and COPD nursing teaching/considerations therapy
Diagnostic criteria – indication of asthma and Don’t use bronchodilator 6-12 hours before,
COPD you will use it before the test
12% increase in values = asthma
Theophylline common side effects/ symptoms Brochodilator
of toxicity N/V, seizures, insomnia
Pt teaching – avoid what Avoid caffeine to prevent intensifying adverse
effects
Asthma attack – rescue med and how often to Difficulty breathing and can’t get enough air
take and when (during what symptoms), -SABA – albuterol for mild and moderate
rescue plan exacerbation
Pts are instructed to take 2 to 4 puffs of
albuterol every 20 minutes 3 times to gain
rapid control of symptoms
Corticosteroids – therapeutic effect and (-sone) Decreases airway inflammation, long
adverse effect, long term effect and why not term use can cause cushings (moon face,
stop abruptly hump back), short term use causes sleep
disturbance and increased appetite
Stopping abruptly can cause adrenal
insufficiency
Three types of antinflammatory meds Corticosteroids
Leukotriene antagonists – Singulair
Anti IgE - Xolair
How to use inhaled corticosteroids – pt Use spacer with MDI
teaching – after inhalation do what Gargle and rinse mouth after use
Central cyanosis Look at oral mucosa – most reliable
What to do to help with secretions Increase fluid intake to 2-3L/day
Nutritional therapy for COPD Increase calories and protein
COPD help with dyspnea – activity teaching, Exercise conditioning - Walk daily with rest
breathing retraining periods, be on the bottom for sex
Breathing retraining – pursed lip breathing,
diaphragmatic breathing
This study source was downloaded by 100000812546443 from CourseHero.com on 11-21-2023 13:07:38 GMT -06:00
https://www.coursehero.com/file/30660479/Nurs-201-quiz-3-SGdocx/
