COPD - FNP 2 Study Guide | 100% Correct Answers | Verified | Latest 2024 Version

COPD - FNP 2 Study Guide | 100% Correct Answers | Verified | Latest 2024 Version Define COPD - Common and preventable, persistent airflow limitation usually progressive assoc. with enhanced chronic inflammatory response in airways and lungs to noxious particles/gas What may cause the airflow limitation? - Inflammation Fibrosis/plugs Increased airway resistance Alveolar attachment loss Elastic recoil decrease Name some risk factors associated with COPD. - Smoking Air polutants Asthma Chronic bronchitis Socioeconomic status Respiratory infections What factors MUST be in place to make a diagnosis of COPD? - Dyspnea Sputum production Chronic cough Exposure to risk factors *Spirometry MUST be done and FEV1/FVC <0.70* T/F Spirometry should never be performed after a dose of a short-acting inhaled bronchodilator. - False - spirometry should only be performed after a SABA is given. What diagnostic value is indicative of COPD? - FEV1/FVC <0.70 How does dyspnea usually present in COPD? - Progressive, persistent and characteristically worse with exercise How does a cough usually present with COPD? - May be intermittent and may be unproductive. Is there always sputum production with coughs in COPD patients? - No, but it is commone What kinds of self-administered tests are available to measure quality of control of COPD? - COPD Assessment Test - CAT Clinical COPD Questionnaire - CCQ How is COPD assessed? - Assess the severity of symptoms Assess degree of airflow limitation Assess risk of exacerbations How severe is Gold 1 COPD? - Mild - FEV1 >/= 80% predicted How severe is Gold 2 COPD? - Moderate - 50% </= FEV1 < 80% predicted How severe is Gold 3 COPD? - Severe - 30% </= FEV1 < 50% predicted How severe is Gold 4 COPD? - Very severe FEV1 <30% predicted What is considered high risk of exacerbations? - Two or more exacerbations in the last year FEV1 <50% One or more hospitalizations What comorbidities are COPD patients at risk for? - Cardiovascular diseases Osteoporosis Respiratory infections Anxiety/Depression - FNP students at risk for this too! Diabetes Lung CA Bronchiectasis What are the differences in COPD v. Asthma? - COPD -onset middle age -smoking history or subjected to second hand smoke -slow progressions Asthma -early onset -sx vary daily -sx worse at night/early morning