Because this study aimed to explore nurse observations of COPD patients in a naturalistic setting (during home visits), eligible patients were identified and included as a third party during the data collection process. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Pneumothorax occurs when the parietal or visceral pleura is breached and the pleural . (Chronic Obstructive Pulmonary Disease) COPD Chronic Bronchitis Emphysema, Definition A disease state characterized by airflow limitation that is not fully reversible Conditions include: Emphysema: (anatomically defined condition characterized by destruction and enlargement of the lung alveoli) Chronic bronchitis: clinically defined condition with chronic cough and phlegm Small-airways disease: condition in which small bronchioles are narrowed. The patient and caregiver track contains several helpful tools, including an interactive My COPD Action Plan and activity tracking calendar; inhaler, nebulizer and exercise videos; and a wallet card to track important information such as medications and immunizations. Internet Fundamentals for LEAs presentation by Jamie Gillespie for Cyber Pasi No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. MORE AMOUNT OF SPUTUM. The COPD Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. A person with COPD may have chronic bronchitis . Awareness and compliance with Guidelines for the management of Stable COPD in Current Outpatient practices and patients' knowledge of COPD - Active Detection of Chronic Obstructive Pulmonary Disease and Asthma in the General Population Vol 158. pp 1730 1738, 1998. This page was reviewed on January 10, 2023 by the COPD Foundation Content Review and Evaluation Committee. Comment The calculation reveals a normal gradient, indicating that the etiology for hypoxemia and hypoventilation is extrinsic to the lung itself. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Quieres ms informacin?Llame al 866.731.COPD (2673) y presione 9 para hablar en espaol con un paciente o cuidador. This is an original nursing presentation for PowerPoint. 28-7, Emphysema Pathophysiology Hyperinflation of alveoli Destruction of alveolar walls Destruction of alveolar capillary walls Narrowed airways Loss of lung elasticity, Emphysema Pathophysiology Two types: Centrilobular (central part of lobule) Most common Panlobular (destruction of whole lobule) Usually associated with AAT deficiency, Emphysema Pathophysiology Structural changes are: Hyperinflation of alveoli Destruction of alveolar capillary walls Narrowed, tortuous small airways Loss of lung elasticity, Emphysema Pathophysiology Small bronchioles become obstructed as a result of Mucus Smooth muscle spasm Inflammatory process Collapse of bronchiolar walls Recurrent infections production/stimulation of neutrophils and macrophages release proteolytic enzymes alveolar destruction inflammation, exudate, and edema, Emphysema Pathophysiology Elastin and collagen are destroyed Air goes into the lungs but is unable to come out on its own and remains in the lung Causes bronchioles to collapse, Emphysema Pathophysiology Trapped air hyperinflation and overdistention As more alveoli coalesce, blebs and bullae may develop Destruction of alveolar walls and capillaries reduced surface area for O2 diffusion Compensation is done by increasing respiratory rate to increase alveolar ventilation Hypoxemia usually develops late in disease, Emphysema Clinical Manifestations Dyspnea Progresses in severity Patient will first complain of dyspnea on exertion and progress to interfering with ADLs and rest, Emphysema Clinical Manifestations Minimal coughing with no to small amounts of sputum Overdistention of alveoli causes diaphragm to flatten and AP diameter to increase, Emphysema Clinical Manifestations Patient becomes chest breather, relying on accessory muscles Ribs become fixed in inspiratory position, Emphysema Clinical Manifestations Patient is underweight (despite adequate calorie intake), Chronic Bronchitis Pathophysiology Pathologic lung changes are: Hyperplasia of mucus-secreting glands in trachea and bronchi Increase in goblet cells Disappearance of cilia Chronic inflammatory changes and narrrowing of small airways Altered fxn of alveolar macrophages infections, Chronic Bronchitis Pathophysiology Chronic inflammation Primary pathologic mechanism causing changes Narrow airway lumen and reduced airflow d/t hyperplasia of mucus glands Inflammatory swelling Excess, thick mucus, Chronic Bronchitis Pathophysiology Greater resistance to airflow increases work of breathing Hypoxemia and hypercapnia develop more frequently in chronic bronchitis than emphysema, Chronic Bronchitis Pathophysiology Bronchioles are clogged with mucus and pose a physical barrier to ventilation Hypoxemia and hypercapnia d/t lack of ventilation and O2 diffusion Tendency to hypoventilate and retain CO2 Frequently patients require O2 both at rest and during exercise, Chronic Bronchitis Pathophysiology Cough is often ineffective to remove secretions because the person cannot breathe deeply enough to cause air flow distal to the secretions Bronchospasm frequently develops More common with history of smoking or asthma, Chronic Bronchitis Clinical Manifestations Earliest symptoms: Frequent, productive cough during winter Frequent respiratory infections, Chronic Bronchitis Clinical Manifestations Bronchospasm at end of paroxysms of coughing Cough Dyspnea on exertion History of smoking Normal weight or heavyset Ruddy (bluish-red) appearance d/t polycythemia (increased Hgb d/t chronic hypoxemia)) cyanosis, Chronic Bronchitis Clinical Manifestations Hypoxemia and hypercapnia Results from hypoventilation and airway resistance + problems with alveolar gas exchange, COPD Complications Pulmonary hypertension (pulmonary vessel constriction d/t alveolar hypoxia & acidosis) Cor pulmonale (Rt heart hypertrophy + RV failure) Pneumonia Acute Respiratory Failure, COPD Diagnostic Studies Chest x-rays early in the disease may not show abnormalities History and physical exam Pulmonary function studies reduced FEV1/FVC and residual volume and total lung capacity, COPD Diagnostic Studies ABGs PaO2 PaCO2 (especially in chronic bronchitis) pH (especially in chronic bronchitis) Bicarbonate level found in late stages COPD, COPD Collaborative Care Smoking cessation Most significant factor in slowing the progression of the disease, COPD Collaborative Care: Drug Therapy Bronchodilators as maintenance therapy -adrenergic agonists (e.g. Views: 670, By: DrDwayne COPD is often evaluated in patients with relevant symptoms and risk factors. Virus Transmission-Understanding and Predicting Pandemic Risk, Small Cell Lung Cancer (SCLC): Diagnosis Treatment and Natural History, Current Management of Hereditary Angioedema - Considerations to Optimize Individualized Care. Activate your 30 day free trialto continue reading. COPD PowerPoint Presentation. Now customize the name of a clipboard to store your clips. Transcript. Background: Qualitative research on long COVID by subtype has not yet occurred. By accepting, you agree to the updated privacy policy. A focused respiratory system assessment includes collecting subjective data about the patient's history of smoking, collecting the patient's and patient's family's history of pulmonary disease, and asking the patient about any signs and symptoms of pulmonary disease, such as cough and shortness of breath. You can read the details below. Looks like youve clipped this slide to already. The tri-fold card. Views: 481, By: DrDwayne Updated November 2021. 7pm. p.1314-1318. (due to weakened/impaired physical activity, tiredness, etc) 2.) Chronic Obstructive Pulmonary Disease . Now customize the name of a clipboard to store your clips. By: DrDwayne Operating Room Nurse/ Clinical Research Nurse . COPD Description Characterized by presence of airflow obstruction Caused by emphysema or chronic bronchitis Generally progressive May be accompanied by airway hyperreactivity May be partially reversible. The use of the standardized technique is particularly helpful for nurses, who can use it to organize their thoughts and break vital information into segments that describe the, S - Situation. CODP ( Chronic Obstructive Pulmonary Disease ), Chronic Obstructive Pulmonary Disease (COPD), Chronic obstructive pulmonary disease (copd), Approach to Chronic Obstructive Pulmonary Disease, COPD (CHRONIC PULMONARY OBSTRUCTIVE DISEASE) by SUKHERA, Chronic Obstructive Pulmonary Disease - COPD, Chrnonic Obstructive Pulomonary Disease - Pathophysiology, Chronic obstructive airway disease (coad), Chronic obstructive pulmonary disorder (copd), COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam, COPD (Chronic Obstructive Pulmonary Disease), Chronic obstructive pulmonary disorders COPD, Nursing management of the client with increased intracranial pressure, Upper respiratory disorders and nursing mangement, Copd(chronic obstructive pulmonary disease), J. Parker Emphysema Presentation Powerpoint, COPD - Chronic obstructive pulmonary disease - Aby. EtiologyCOLD Causal relationship between cigarette smoking and development of COLD has been proven: however, the response varies considerably among individuals. chronic obstructive pulmonary disease by: jesse and courtney. Chronic Obstructive Pulmonary Disease (COPD) Chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema, is a long-term lung disease that makes it hard to breathe. . Cervical Cancer Care Seeking Behaviour Among Community Women, Jos-North, Plat 2021 Heart Failure Gls slide set_protected.pptx, 10 Most Common Types of Probiotics Gut Foundation.pptx, Understanding Therapeutic drug monitoring (TDM) at a glance, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Medications and treatments with things like respiratory exercise devices and inhalers can help you enjoy many good years with COPD. -System-wide nurse referral bonus program - earn up to $6000 per referral. COPD is the progressive and partially reversible within 30 Days Required ; Chronic Obstructive Pulmonary Disease (COPD) Slide 2-. Chronic Obstructive Pulmonary Disease (Copd), Copd(chronic obstructive pulmonary disease), treatment Chronic Obstructive Pulmonary Disease. aims & objectives. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Remember to update it at least every six months. Description: COPD 'COPD is fifth commonest cause of death in England and Wales accounting for . Atrovent), COPD Collaborative Care: Oxygen Therapy O2 therapy Raises PO2 in inspired air Treats hypoxemia Titrate to lowest effective dose, COPD Collaborative Care: Oxygen Therapy Chronic O2 therapy at home Improved prognosis Improved neuropsychologic function Increased exercise tolerance Decreased hematocrit Reduced pulmonary hypertension, COPD Collaborative Care: Respiratory Therapy Breathing retraining Pursed-lip breathing Prolongs exhalation and prevents bronchiolar collapse and air trapping Diaphragmatic breathing Focuses on using diaphragm instead of accessory muscles to achieve maximum inhalation and slow respiratory rate See text re how to teach, COPD Collaborative Care: Respiratory Therapy Huff coughing (Table 28-21) Chest physiotherapy to bring secretions into larger, more central airways Postural drainage Percussion Vibration, Positions for Postural Drainage Fig. Hallmark symptom - Dyspnea Chronic productive cough Minor hemoptysis pink puffer blue bloater. The air buildup puts pressure on the lung (s), so it cannot expand as much as it normally. You can read the details below. key messages. So with your pals, please proceed Ingenuity is what you will need To win the huntthe ultimate test, Let's see your search find the very the best! Smoking is the most common cause. We want to hear from you! chronic obstructive pulmonary disease. experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another. Separately COPD is more costly per case than . SBAR is an effective and easy-to-use communication tool that divides patient status points to be conveyed into categories. Asthma Reduced forced expiratory volume in 1 second (FEV1) in COLD seldom shows large responses (>30%) to inhaled bronchodilators, although improvements up to 15% are common. The app. If you would like to sign up for our eNewsletter please click the button below. Youll like what you see! It appears that you have an ad-blocker running. Tachypnea Accessory respiratory muscle use. This n urse PowerPoint template for free comes with many medical illustrations. Sometimes patients need to have a blood test (calledarterial blood gas) to measure the amounts of oxygen and carbon dioxide in the blood. A widowed, 60-year-old, retired post office clerk, her main complaint is breathlessness after moderate exertion. Every COPD patient has an anticipatory care plan which is created by their GP . Free access to premium services like Tuneln, Mubi and more. The good news is COPD is often preventable and . c hronic o bstructive, COPD - . As with previous editions, the 2018 Global . Chronic obstructive pulmonary disease (COPD) is a long-term lung disease that involves the obstruction of airflow due to an inflammation of the lungs. Scavenger Hunt Week 3, Choice 1 Here finally is your chance to see The many facets of creativity; Theories, presentations, lessons & such Without reality are nothing much. Distributions of forced expiratory volume in 1 s (FEV1)values in a generalpopulation sample, stratified by pack-years of smoking. Comment We can be reasonably confident that patient 1 suffered hypoventilation due to the effect of the ingested drugs on the brain stem. Change size. disease of the airway She is a passionate nurse, educator and researcher, with research interests in undergraduate nursing education, nursing workforce, chronic illness experience, patient education, health . It can be very helpful to have an action plan to follow when managing your COPD. COPD Chronic obstructive pulmonary disease (COPD) is a lung ailment that is characterized by a persistent blockage of airflow from the lungs. COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time. Free access to premium services like Tuneln, Mubi and more. Hypertensionor high blood pressurecan happen steadily over long periods of time and have no clear cause, called primary hypertension,. 2023 CrystalGraphics, Inc. All rights Reserved. Want to work with us? Chronic Obstructive Pulmonary Disease - COPD. This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here (if the PDF fails to fully . All our first aid presentations are free to download & use when delivering first aid training or classes. The presentation must educate advanced practice nurses on assessment and . Chronic Obstructive Pulmonary Disease or Chronic Obstructive lung disease. The signs and symptoms of COPD occur gradually, and may worsen as the disease progresses. Our beautiful, affordable PowerPoint templates are used and trusted . COPD. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Download GOLD Teaching Slide Set. Typically performed by isoelectric focusing of serum, which reflects the genotype at the PI locus for the common alleles and many of the rare PI alleles Molecular genotyping can be performed for the common PI alleles (M, S, and Z). Inhalation of gases and particles is thought, Air-trapping (when the alveoli fill with CO2. Looks like youve clipped this slide to already. Chronic obstructive pulmonary diseases & Nursing care. You can read the details below. Slides: 36. "Blue bloaters" are patients with predominant bronchitiscyanosis and edema. People with COPD use more energy while breathing than the average person. definition. 20-23 June 2023 Dublin, Ireland. Chronic Bronchitis Chronic lower airway inflammation Increased bronchial mucus production Productive cough Urban male smokers > 30 years old, Chronic Bronchitis Mucus, swelling interfere with ventilation Increased CO2, decreased 02 Cyanosis occurs early in disease Lung disease overworks right ventricle Right heart failure occurs RHF produces peripheral edema Blue Bloater, Emphysema Loss of elasticity in small airways Destruction of alveolar walls Urban male smokers > 40-50 years old, Emphysema Lungs lose elastic recoil Retain CO2, maintain near normal O2 Cyanosis occurs late in disease Barrel chest (increased AP diameter) Thin, wasted Prolonged exhalation through pursed lips Pink Puffer, COPD Management Oxygen Monitor carefully Some COPD patients may experience respiratory depression on high concentration oxygen Assist ventilations as needed, Diagnostic Approach Initial assessment History and physical examination (Signs & Symptoms) Pulmonary function testing to assess airflow obstruction Radiographic studies, Assessment of exacerbation History Fever Change in quantity and character of sputum ill contacts Associated symptoms Frequency and severity of prior exacerbations, Assessment of exacerbation Physical examination Tachycardia Tachypnea Chest examination Focal findings Air movement Symmetry Presence or absence of wheezing Paradoxical movement of abdominal wall Use of accessory muscles Perioral or peripheral cyanosis Ability to speak in complete sentences Mental status, Radiographic studies Chest radiography focal findings (pneumonia, atelectasis) Arterial blood gases Hypoxemia Hypercapnia Hospitalization recommended for: Respiratory acidosis and hypercarbia Significant hypoxemia Severe underlying disease Living situation not conducive to careful observation and delivery of prescribed treatment, ABG and oximetry Although not sensitive, they may demonstrate resting or exertional hypoxemia. Special considerations in design of clinical trials for special Disease condi Polices for intensive care units / critical care units, RESUSCIATION EQUIPMENTS IN INTENSISIVE CARE UNITS, Nursing management of critically ill patient in intensive care units, Infection control protocols in intensive care units, Nursing management of patients with oncological conditions, Nursing assessment and management of patients with hepatic disorders, Nursing assessment and Management clients with Pancreatic disorders, V Bobic - Mucoid ACL - ACL SG St Kitts 2023 As presented.pdf, Unit-1 New drug discovery and drug development PPT.ppt, Checklist for lab and cleanroom environ mental monitoring systems, UNIT 4 TOPIC Managing Monitoring Clinical Trials.pdf. Chronic obstructive pulmonary diseases & Nursing care. tintinalli chapter 73. copd definition. . COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. To download the free app, please visit the App Store or Google Play. joshua jewell. The inclusion criterion for nurses was employment in home nursing care for at least 6 months. June 2023. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. COPD - . pulmonary diseases. Uploaded on Sep 27, 2014. By accepting, you agree to the updated privacy policy. British Journal of Nursing 17 (21). -Partner with the Center for Education, Simulation, and Innovation to develop patient scenarios that foster the development of critical thinking skills. COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. 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