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.…
Q1. What clinical findings are likely in R.S. as a consequence of his COPD? Ans. The clinical findings are likely in R.S. as consequences of his COPD are SOB, history of smoking, thick sputum and sputum may be purulent, productive cough, wheezing, rhonchi and decreased breath sounds, dyspnea, chills, muscle aches, fatigue may be evident during meals, when walking and even after rest.…
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.…
Each of these factors blend into one another. His ineffective airway clearance leads to an obstructed airway and this contributes to his decreased perfusion in his lungs, which is why he experiences restlessness and shortness of breath. All of the factors listed above plus many more result in his progressing COPD and ultimately his decreasing health. Leyshon (2012) promotes palliative care for those who in the terminal phase of the disease. When placing a patient on hospice or palliative care "they are more likely to receive co-ordinated support, including classification of their specific needs, advance care planning discussion, prevention of crisis admissions and a proactive approach to symptom management" (P.…
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.…
Many Americans live with COPD and remain unaware that they have the disease. What may seem like the natural aging process–consistent cough and labored breathing, COPD can quickly develop into a progressive lung disease that can hinder the routine activities of daily life. If you’ve noticed a change in your breathing, excessive fatigue or a consistent mucus build-up, it’s better to consult your doctor to find out if a COPD screening might be appropriate.…
It is a mixture of chronic bronchitis and emphysema. COPD gets worse over time, and is irreversible. The damage it does to the lungs is far too severe to heal. Most people with COPD die from this disease, and sadly, my father was diagnosed five months ago. Since the diagnosis, my father has discovered some ways to cope with this disease, my family learned a great deal from it, and my conclusion is that the situation could have been handled better.…
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).…
Individuals may need oxygen therapy or pulmonary rehabilitation program. Individual who receive oxygen therapy have to be careful because often times they think more oxygen is better but increasing their oxygen without doctor orders can increase their risk of carbon dioxide retention and lead to failure of the right side of the heart. Individuals who experience acute respiratory distress can be managed with a ventilator before oxygen treatment. Ventilators can help slow the end-stage of the COPD. Ventilators are extremely useful for acute exacerbation of COPD that is caused by influenza, congestive heart failure, or…
We suggest you to consume water, fruits and vegetables. The following things contribute to the health of the lungs: Chili It clears the mucus in the lungs by being spicy. That's why your nose starts running when you eat spicy food.…
If the patient is diagnosed with COPD there are certain treatments and medicines that might help relieve some of the…
In COPD, several processes occur, such as, mucus hypersecretion…
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.…
Degenerative disease experienced at a higher rate among Japanese Americans The degenerative disease I chose is Chronic Obstructive Pulmonary Disease. Individuals with chronic obstructive pulmonary disease may experience trouble with breathing, and coughing. Chronic obstructive pulmonary disease (COPD) is a term that is used to described a progressive lung disease.…