Please print the questions out with your answers … You are the RN on a morning shift on the respiratory ward of a large … Store at room temperature. She has been in the hospital for 3 days with an acute COPD … Case Study Heart Failure with answers.docx. As the disease process progresses, functional residual capacity is increased and air trapping causes chest hyperextension and the patient may become barrel chested and the diaphragm may flatten. Recommend a “diet high in calories and protein, moderate in carbohydrate, and moderate to high in fat” (Lewis, Bucher, Heitkemper, & Harding, 2017). Home: The patient takes Spiriva Respimat (2.5 mcg/actuation), 2 inhalations once daily. Data Collection History of Present Oxygen therapy is also recognized as a primary treatment. This LAMA is used for long-term treatment and once-daily maintenance of bronchospasm associated with COPD. Renal compensation of respiratory acidosis manifests in increased levels of HCOâ‚ƒâ» and increased levels of Hâº in urine. Course Hero is not sponsored or endorsed by any college or university. In COPD, the airflow limitation is both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! Patient is dyspneic with diminished lung sounds in the bases and diffuse rhonchi and some faint, expiratory wheezing. The patient has a 61 pack-year history (number of packs smoked per day multiplied by number of years smoked) and still currently smokes “to calm her nerves”. Study for free with our range of nursing lectures! All work is written to order. Question four Patients with an exacerbation of COPD usually present with increased sputum production, a change in sputum color compared with baseline, cough and/or worsening dyspnea. Copyright © 2003 - 2021 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Air becomes trapped in the lungs which creates gas exchange abnormalities, and an increased volume of residual air, making passive expiration arduous. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. The patient is still within normal BMI range at 19 but has lost 4kg (8.8lbs) in three months. CNS depression, paresthesia, chest pain, increased heart rate, dry mouth, blurred vision, glaucoma, vomiting, abdominal pain, constipation, dyspepsia, urinary difficulty, rash, angioedema, cough, upper RTI, candidiasis, flulike syndrome. The medical treatment section includes the medication, it’s classification, method of action, dose and frequency, as well as the reason the patient is taking the medication. Free resources to assist you with your nursing studies! The patient reports an increasing use of oxygen in the home over the past five years and is requiring at least 2L/min continuously over the last year. Answer: E Both A and D are correct. Estimated to be the third leading cause of death by 2020. 12th Feb 2020 Severe ATT deficiency leads to premature bullous emphysema in the lungs” (Lewis, Bucher, Heitkemper, & Harding, 2017). COPD case presentation by Amnah AlLail 1. Pneumonia-COPD 1. This medication has drug-drug interactions with CPY3A4 inhibitors, aerosol bronchodilators, tricylics, MAOI’s and ß-blockers. Monitor the effectiveness of this therapy via ABGs and pulse oximetry to evaluate the patient response to therapy. • COPD is incredibly common; estimates vary but likely > 6% population • COPD is the fourth leading cause of death (since 1994). Store at room temperature in a light resistant container. “The main function of ATT, an Î±â‚ -protease inhibitor, is to protect normal lung tissue from attack by proteases during inflammation related to cigarette smoking and infections. If increased Oâ‚‚ therapy of more than 35-50% is ordered, use a humidification or nebulization device to prevent drying secretions and mucous membranes. This intervention was developed to meet the health needs of COPD patients “such as the need of a better understanding of the sustained symptom burden, physical limitations, and psychological impact of COPD” (Weldam, Lammers, Zwakman, & Schuurmans, 2017). (Lewis, Bucher, Heitkemper, & Harding, 2017), COPD is a progressive disease and clinical manifestations develop slowly. Nurses’ perspectives of a new individualized nursing care intervention for COPD patients in primary care settings: A mixed method study. Assess the patient’s ability and technique when using MDIs and DPIs via patient demonstration in order to confirm proper use of medications and alter or simplify medication regime if necessary. The patient’s gender is also a risk factor due to the belief that “women may be more susceptible to the adverse effects of smoking” (Lewis, Bucher, Heitkemper, & Harding, 2017). COPD case presentation Prepared by: Sara Abudahab, Ala’a Alhayek and Amani Almani Supervised by: Dr. Abla Albsoul Jordan UniversityFaculty of pharmacy 2. Bailey, P., Colella, T., & Mossey, S. (2004). Disclaimer: This essay has been written by a student and not our expert nursing writers. All of these signs and symptoms are manifestations of the patient’s inadequate oxygenation due to an exacerbation of her COPD. The patient’s major risk factor is smoking. VAT Registration No: 842417633. This intervention is applied after a sputum culture to identify the cause of infection. Later signs of COPD are dyspnea at rest, chest breathing with use of intercostals and accessory muscles, barrel chest, weight loss, wheezing, diminished breath sounds, pursed-lipped breathing, cyanosis, and the patient sitting in a tripod position. If the patient is having trouble expectorating, teach and promote airway clearance techniques such as huff coughing to loosen secretions and promote expectoration. This risk factor includes passive smoking since the patient is exposed to environmental tobacco smoke due to her husband’s smoking in the home. Evidence-based recommendations for the disease are similar to the actual treatment plan which was garnered from textbook information as well as student education. These are all physical manifestations of COPD as aforementioned in the pathophysiology of COPD. If cor pulmonale is suspected an ECG may also be used to detect right-sided enlargement and BNP levels can be monitored since increased BNP levels indicate increased stretch.Â The lab values should also continue to be monitored. Instructions: Answer the questions below. Summary of in-patient admission: Susan M. is being discharged today following a 6-day ICU and step-down admission for acute exacerbation of COPD … Combination therapy with long-acting inhaled anticholinergics or corticosteroids and ßâ‚‚-agonist are indicated for any patient with a FEVâ‚ less than 60% of the expected value. 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