Review of her medical records indicates that she has had multiple hospitalizations in the last year for CHF/COPD exacerbation her last hospitalization was 8/28/16 at SLMC for COB and hypoxia. On 8/28/16 she had a left and right cardiac cath because of dyspnea and congestive heart failure. Her other medical history includes NIDDM, Afib, CVA with right sides hemiparesis, MI, GAD, dementia, bipolar, chronic ischemic heart disease, dysphagia, cognitive communication deficit, hyperlipidemia and GERD. At todays visit she is found in her room lying in bed at Tiffany hall SNF.…
In chronic obstructive lung problems are known because resistance in airflow increases and causes obstruction in the walls of lumen. Patient must have had chronic or productive cough that would last for 3 months and then happen it again for at least 2 years or more. Chronic bronchitis is also known as type B COPD or the “blue bloater,” which is diagnosed symptomatically by hypersecretion of bronchial mucus and in R.S.’s clinical findings there is definitely signs of emphysema, airway obstruction is persistent and irreversible. Q2. How would the consequences of the COPD of R.S. (identified in question 1) differ from those of emphysematous COPD?…
You are the nurse on a med/surg unit and have just received a new admission from the emergency room. The patient is a 60 year old male with COPD who was admitted with an exacerbation of COPD. Your quick assessment reveals that he has a slight increase in his work of breathing and mild expiratory wheezes. He is anxious and frequently asking to be repositioned and wants the head of the bed elevated at all times. He is wet from being incontinent of urine while on the ER stretcher and needs vital signs in addition to being cleaned up.…
Week # 5 Common symptoms of COPD exacerbation Smoking is the leading cause of COPD and served as a trigger for the disease. Smoking damage the airway and the lining of the lung, which lead to a decrease in lung expansion, which then leads to trouble moving air in and out of the lung causing difficulty with breathing, Irregular breathing, Coughing, discoloration of the skin or nail due to the lack of oxygenated blood. According to case study, Mary had signs of COPD exacerbation which are hash productive cough and SOB, Mary symptoms are caused by the building up of fluid, mucus, and pus in her lung causing tightness of her airway.…
1. Describe the procedure/surgery and/or treatment and include associated complications I assisted in the care of two patients while in the critical care unit today. One of my patients was suffering from end-stage chronic obstructive pulmonary disease, while the other was experiencing an outbreak of shingles. The patient with end-stage COPD was a 57-year-old female patient, who has been hospitalized for shortness of breath related to her COPD numerous times in the past few months.…
“Chronic obstructive pulmonary disease (COPD) is a life-threatening lung disease characterized inflammation of the lining of the lungs and chronic obstruction of lung airflow that interferes with normal breathing.” (World health organization 2015) Chronic Obstructive Pulmonary Disease (COPD), includes asthma, chronic bronchitis, and emphysema and is a “chronic non-curable disease”. (Long, M. B., Bekelman, D. B., & Make, B. 2014)…
Imagine hearing a cough so loud, it is as if an avalanche is rumbling out of someone’s body. Imagine seeing someone’s chest stop rising and falling as they sleep, knowing they stopped breathing. Imagine witnessing the horrifying scene of black tar shooting out of a person’s lungs. That is COPD. COPD stands for chronic obstructive pulmonary disease.…
COPD is very similar to emphysema because they both limit persons inspiration and expiration (the process of breathing in and out). A normal alveolus has an avascular macrophage that cleans up the alveoli and protects it from diseases or infections and the blood cells will exchange oxygen with carbon dioxide, and there is supposed to be a balance between the antiprotease (build up the protease) and the protease (breakdown alveoli), however, with emphysema there is an imbalance of the antiprotease and protease. The more protease, the more damage there will be and the less protease there is, the less damage will be done to the alveoli. Emphysema and COPD can result in dyspnea ,or shortness of breath (SOB), from the destruction that has been done inside the liver. Other symptoms of emphysema include, but are not limited to, wheezing, which is also a symptom of asthma (inflammatory disease), coughing and discoloration of the skin (epidermis), lips (labia) or nails (onyx).…
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's caused by smoking cigarettes or long-term exposure to irritating gases or particulate matter. Your lungs are directly affected by COPD, because air travels down your trachea and into your lungs through the bronchi. The bronchi are divided into many smaller tubes or bronchioles that end in clusters of tiny air sacs called alveoli. Your lungs rely on the natural elasticity of the bronchioles and alveoli to force air out of your body.…
COPD is a chronic pulmonary disease that affect millions of americans with many new cases diagnosed every day.(National heart,lung and blood institute). COPD commonly refers to two seperate types of illnesses, chronic bronchitis and emphysema. This paper will focus on the emphysema side of the illness. COPD is develops slowly, often from cigarette abuse in particular. COPD is a major cause of disability and currently there is no cure available, many people have the disease and do not evene know.…
Chronic obstructive pulmonary disease is a lung disease that causes inflammation and stops the airflow from the lungs. Symptoms such as cough, sputum and wheezing are related to this condition. The main cause of the disease is cigarette smoke and exposure to irritating gases for a long time. People with COPD are at a much higher risk of developing heart diseases and other conditions. Contributing conditions to COPD are emphysema and chronic bronchitis.…
2002] that was previously employed in cohorts of patients with COPD [Baghai-Ravary et al,.…
Pathophysiology Q 1.1. Chronic obstructive pulmonary disease is the name applied to two related diseases, emphysema and chronic bronchitis. Chronic obstructive pulmonary disease is characterised by abnormal inflammatory obstruction of the airways, lung parenchyma, (respiratory bronchioles and alveoli) and pulmonary blood vessels (Brown, 2013). Research shows that COPD is being recognised as an inflammatory disorder of the large and small airways characterized by remodelling and emphysematous changes in the lung parenchyma (Ceylan, 2006). Thereby this represents characteristic and adaptive immune reaction to long term exposure to airborne contaminates and cigarette smoke (MacNee, 2006).…
Patient Interview Paper The chronic obstructive pulmonary disease (COPD) is a progressive and mostly irreversible deteriorating condition of the function of the lung and disease of heterogeneous with comorbidities. According to World Health Organization (WHO, 2015) the COPD is going to be the third leading cause of death by 2030 and estimated approximately 80 million in worldwide. This is the general term used to explain the numeral conditions inclusive of chronic bronchitis and emphysema. The knowledge of pathophysiology of COPD will help the nurses in nursing process to care of such patients.…
Chronic bronchitis: this is when there is "persistent inflammation and excessive secretions of mucus in the main airways of the lungs. " This disease is diagnosed as chronic when a person continues to cough for at least 3 months of the year for two consecutive years. Symptoms include: cyanosis (lack of O2), persistent cough, retains CO2 leading to…