What is chronic obstructive pulmonary disease
- COPD
- Slow progressive respiratory disease of airflow obstruction
Is COPD reversible
no, its preventable and treatable
How does airflow become obstructed with COPD
its progressive, associated with abnormal inflmmatory response to noxious particles or gases
What is chronic bronchitis
- Disease of the airway
- Must have present of cough and sputum production for at least 3 months in each of 2 consecutive years
What occurs with chronic bronchitis
- Reduced cilliary function
- Bronchial walls thicken
- Bronchial airway narrows
- Mucous plugs airways
What is Emphysema
Impaired O2 and CO2 exchange results from destruction of walls of over distended alveoli
What are the two types of emphysema
panlobar and centrilbular
What are some risk factors for developing COPD
- Exposure to smoking
- Increased age
- Dust, chemicals
- Indoor and outdoor pollution
- Genetic abnormalities
What are the three primary symptoms of COPD
Chronic cough
sputum production
dyspnea
Why do you get barrel chest with COPD
from hyperinflation
Diagnostic tests for COPD
Health Hx
- Pulmonary function tests
- Spirometry
- ABGs
- Chest x ray
What are some complications of COPD
- resp insufficiency and failure
- pneumonia
- chronic atelectasis
- pneumothroax
cor pulmonale
What are some medical managements of COPD
- Promoting smoking quitting
- Reducing risk factors
- manging exacerbations
- Providing O2
- Vaccines
- pulmonary rehab
- Managing exacerbations
What are some nursing interventions to promote oxygenation
- IS
- Postural drainage
- Chest percussion and vibration
- breathing exercises
What are some nursing interventions to promote oxygenation and gas exchange
oxygen and bronchodilators
What is an education plan for someone with COPD
- stop smoking
- admin meds
- breathing exercises
- regular exercise
- realistic goals
- emergency mangement
What is bronchiectasis
Chronic irreversible dilation of bronchi and bronchioles
What can cause bronchiectasis
- Airway obstruction
- pulmonary infections
- Diffuse airway injury
- genetic disorders
- abnormal host defenses
- idiopathic causes
What are some clinical manifestations of bronchiectasis
- chronic cough
- purulent sputum
- Clubbing of fingers
- postural drainage
- chest pt
- stop smoking
- antimicrobial therapy
- bronchodilators and mucolytics
What is asthma
Chronic inflammatory disease of the airways that causes hyper responsiveness, mucosal edema, and mucus production
What are the quick relief medication treatments for asthma
beta-2 adrenergic agonists (albuterol)
antichonliergics (ipratropium)
What are the long acting medication treatments for asthma
Corticosteroids
Salmeterol (LABA)
Leukotriene modifiers (montelukast)
What is cystic fibrosis
genetic mutation that changes chloride transport leading to thickened mucus in lungs, liver, pancreas, intestines and reproductive tract
How do you manage chronic CF
control of infections and ATBs
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Week 1 Module 1 Chapter 213
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Week 1 Module 1 Chapter 919
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Week 1 Module 1 Chapter 711
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Week 2 Module 2 Chapter 6020
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Week 2 Module 2 Chapter 817
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Week 2 Module 2 Chapter 5928
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Week 3 Module 3 Chapter 5725
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Week 3 Module 3 Chapter 5610
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Week 3 Module 3 Chapter 1029
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Module 4- Ch. 1724
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Module 4- Ch. 1829
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Module 5 Ch. 1952
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Module 5 Ch 2021
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Module 5 Ch 2131
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Module 6 Ch 2232
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Module 6 Ch 2414
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Module 6 Ch 2339
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Module 7 Ch. 2630
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Module 7 Ch. 2751
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Module 7 Ch. 2824
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Module 8 Ch. 32- Assessment of Immune Function35
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Module 8 Ch. 34 Assessment with Allergic Disorders49
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Module 8 Ch. 61- Assessment of Neurological Function20
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Module 8 Ch. 62 Management of Pts with Neurologic Dysfunction56
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Module 8 Ch. 63 Management of Pts with Cerebrovascular Disorders32
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Module 9 Ch. 36 Assessment of Musculoskeletal function30
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Module 9 Ch. 38 Mgm of patients with Msk Trauma59
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Module 9 Ch. 37 Management of Pts with MSK Disorders73
