COPD II -
Chronic Obstructive
Pulmonary Disease
Question Teaching
Diet:
saturation of 87%, and ABG: pH 7.21, PaCO2 75, and PaO2 55 mm Hg. Which • Oral hygiene BEFORE meals to wake up the taste buds!
immediate intervention is best? • Eat small, frequent meals (decreases stomach distention)
• HIGH calories & protein
• AVOID eating high amounts of carbohydrates Kaplan
• AVOID exercise 1 hour Before/After meals
albuterol treatment. - conserve oxygen for chewing & swallowing
• AVOID Gassy Foods
Sit the patient upright and
• NO carbonated drinks
Pressure BiPAP • NO high-fiber foods (broccoli, beans)
Fluids:
• Increase fluid intake 8 glasses (2 - 3L/day) to
thin that mucous
• AVOID drinking fluids while eating
Nursing Care
Infection:
• Report increase in sputum 1
• Fever, Worsening dyspnea
Vaccines:
COPD exacerbation
Look for the Os to know
its an opioid: • Pneumococcal every 5 years
• Flu vaccine every year
NO Opioids: Meds: Albuterol if short of breath to vasodilate
the lungs & allow more air flow
• MOrphine
• HydrOmorphone HYDROCODONE
Side Note for our patients with heavy mucus
• HydrOcodone
OXYCODONE
Bronchitis
• OxycOdone • Before Bed - Mobilize Secretions
our crazy pam & lam
• Guaifenesin (Brand: Mucinex)
• Cool mist humidifier at night to make breathing easier.
NO Benzos: ending drugs
• Diazepam (brand: Valium) XANAX
(ALPRAZOLAM) Breathing:
• Lorazepam (brand: Ativan) Pursed lip breathing
ATIVAN
(DIAZEPAM)
• Inhale: 2 seconds via nose (closed mouth)
• Exhale: 4 seconds with pursed lips
Memory trick:
- 2 nostrils = 2 seconds INhale like smelling a rose
NCLEX Question - Pursed lips for 4 seconds EXhale like blowing a kiss
Kaplan Question ATI Question
Purpose of pursed lip Pursed lip breathing…
breathing?
Prevent airway collapse
Prevent air trapping during expiration
Huff coughing technique
Correct Order:
1. Ipratropium 1. Sit upright in a chair: feet shoulder
width apart & lean forward
2. Hydromorphone 2. Deep slow inhalation through
mouth using diaphragm muscle
3. Rescue inhaler 3. Hold breath: 2-3 seconds & then
forcefully exhale
4. Oxygen via nasal
4. Repeat HUFF once or twice more
cannula 3 L/min
00:02
& avoid from normal coughing
DIAZEPAM
5. Diazepam 5. Rest for 5-10 normal breaths & repeat
as needed until secretions clear
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Chronic Obstructive
Pulmonary Disease
Question Teaching
Diet:
saturation of 87%, and ABG: pH 7.21, PaCO2 75, and PaO2 55 mm Hg. Which • Oral hygiene BEFORE meals to wake up the taste buds!
immediate intervention is best? • Eat small, frequent meals (decreases stomach distention)
• HIGH calories & protein
• AVOID eating high amounts of carbohydrates Kaplan
• AVOID exercise 1 hour Before/After meals
albuterol treatment. - conserve oxygen for chewing & swallowing
• AVOID Gassy Foods
Sit the patient upright and
• NO carbonated drinks
Pressure BiPAP • NO high-fiber foods (broccoli, beans)
Fluids:
• Increase fluid intake 8 glasses (2 - 3L/day) to
thin that mucous
• AVOID drinking fluids while eating
Nursing Care
Infection:
• Report increase in sputum 1
• Fever, Worsening dyspnea
Vaccines:
COPD exacerbation
Look for the Os to know
its an opioid: • Pneumococcal every 5 years
• Flu vaccine every year
NO Opioids: Meds: Albuterol if short of breath to vasodilate
the lungs & allow more air flow
• MOrphine
• HydrOmorphone HYDROCODONE
Side Note for our patients with heavy mucus
• HydrOcodone
OXYCODONE
Bronchitis
• OxycOdone • Before Bed - Mobilize Secretions
our crazy pam & lam
• Guaifenesin (Brand: Mucinex)
• Cool mist humidifier at night to make breathing easier.
NO Benzos: ending drugs
• Diazepam (brand: Valium) XANAX
(ALPRAZOLAM) Breathing:
• Lorazepam (brand: Ativan) Pursed lip breathing
ATIVAN
(DIAZEPAM)
• Inhale: 2 seconds via nose (closed mouth)
• Exhale: 4 seconds with pursed lips
Memory trick:
- 2 nostrils = 2 seconds INhale like smelling a rose
NCLEX Question - Pursed lips for 4 seconds EXhale like blowing a kiss
Kaplan Question ATI Question
Purpose of pursed lip Pursed lip breathing…
breathing?
Prevent airway collapse
Prevent air trapping during expiration
Huff coughing technique
Correct Order:
1. Ipratropium 1. Sit upright in a chair: feet shoulder
width apart & lean forward
2. Hydromorphone 2. Deep slow inhalation through
mouth using diaphragm muscle
3. Rescue inhaler 3. Hold breath: 2-3 seconds & then
forcefully exhale
4. Oxygen via nasal
4. Repeat HUFF once or twice more
cannula 3 L/min
00:02
& avoid from normal coughing
DIAZEPAM
5. Diazepam 5. Rest for 5-10 normal breaths & repeat
as needed until secretions clear
Downloaded by Answerdone ()
