Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Log in. Pneumothorax, or a collapsed lung, is the collection of air in the spaces around the lungs. Art of Assertive Commnunication, how to be visible in social media by Shreed UiPath Automation Cloud Robots - Best Practises session 2.pptx, How To Restore Tree From Ancestry To Family Tree Maker, INVERTING BUCK-BOOST DCDC CONVERTER DESIGN CHALLENGES. Free access to premium services like Tuneln, Mubi and more. MORE AMOUNT OF SPUTUM. welcome to the literature of the year. She is a passionate nurse, educator and researcher, with research interests in undergraduate nursing education, nursing workforce, chronic illness experience, patient education, health . GOLD Teaching Slide Set. what is, COPD - . In the health care provider view, users can access the CAT and mMRC Breathlessness Scale; an evidence-based therapy flowchart; COPD medications lists; inhaler and nebulizer education videos; and much more. Please Review ONE of the following videos and post for the class what you have learned. . The COPD Pocket Consultant Guide (PCG) app is built to support patients with COPD and their family members in self-management and to assist health care professionals in providing optimal care. 2023 CrystalGraphics, Inc. All rights Reserved. Free access to premium services like Tuneln, Mubi and more. 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. Systemic wasting Significant weight loss Bitemporal wasting Diffuse loss of subcutaneous adipose tissue Paradoxical respiration Inward movement of the rib cage with inspiration (Hoover's sign) in some patients "Pink puffers" are patients with predominant emphysemano cyanosis or edema, with decreased breath sounds. Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities, usually caused by significant exposure to noxious particles or gases. Advanced disease: signs of cor pulmonale Elevated jugular venous distention Right ventricular heave Third heart sound Hepatic congestion Ascites Peripheral edema, Differential Diagnosis Congestive heart failure Asthma Bronchiectasis Obliterative bronchiolitis Pneumonia Tuberculosis Atelectasis Pneumothorax Pulmonary embolism. Presentation having lung patient senior with oxygen . COPD: Conserving Your Energy. This one-page fact sheet focuses on preventing pneumonia in individuals with COPD. Chronic Bronchitis COPD COMPLETE POWER POINT AS PER GOLD. chronic obstructive pulmonary disease in equine, COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam, Chronic obstructive pulmonary disease (copd) power point, Nursing care plans, concept map bronhial asthma, Introduction & investigations to respiratory diseases, L'Docile - Respiratory diseases & nebulization Report, J. Parker Emphysema Presentation Powerpoint, COPD - Chronic Obstructive Pulmonary Disease |medico X| Pathology. Most patients have elements of each. COPD (CHRONIC PULMONARY OBSTRUCTIVE DISEASE) by SUKHERA. View (Order 4698406) Powerpoint Presentation on Obesity (2).pptx from ENG 246 at North Carolina State University. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Looks like youve clipped this slide to already. 26 slides. Decreased quality of life. review oct. 16, 2014 cathy vakil. Expert Help. Views: 967, By: DrDwayne Activate your 30 day free trialto unlock unlimited reading. Slides: 36. Tap here to review the details. dinner was great, coffee is brewing and you are all debating, COPD - . definition epidemiology risk, COPD - . Grace Parker (the patient's name has been changed) attends a nurse-led COPD clinic for routine reviews. Use the contact form to get in touch Description: COPD 'COPD is fifth commonest cause of death in England and Wales accounting for . COPD - Physical Findings. Click here to review the details. Looks like youve clipped this slide to already. The inclusion criterion for nurses was employment in home nursing care for at least 6 months. This booklet may also be beneficial to caregivers as well. Views: 670, By: DrDwayne Weakness. If you are preparing a presentation about it you can use this Slidesgo proposal. Nursing Management Nursing Implementation Ambulatory and Home Care Discourage moving to places above 4000 ft. Occupational exposures to dust and fumes (e.g., cadmium) Likely risk factors The magnitude of these effects appears substantially less important than the effect of cigarette smoking. In addition, we have included a multitude of resources that you can edit to convey your information, such as graphics, map, infographics, etc. Views: 355, By: DrDwayne The presentation must educate advanced practice nurses on assessment and care/treatment, including . Avoid or control exposure to occupational and environmental pollutants and irritants Early detection of small-airway disease Early diagnosis of respiratory tract infections, Nursing Management Nursing Implementation Acute Intervention Required for complications like pneumonia, cor pulmonale, and acute respiratory failure, Nursing Management Nursing Implementation Ambulatory and Home Care Pulmonary rehabilitation Control and alleviate symptoms of pathophysiologic complications of respiratory impairment, Nursing Management Nursing Implementation Ambulatory and Home Care Teach patient how to achieve optimal capability in carrying out ADLs Physical therapy Nutrition Education Activity considerations Exercise training of upper extremities to help improve function and relieve dyspnea, Nursing Management Nursing Implementation Ambulatory and Home Care Explore alternative methods of ADLs Encourage patient to sit while performing activities Coordinated walking, Nursing Management Nursing Implementation Ambulatory and Home Care Slow, pursed-lip breathing After exercise, wait 5 minutes before using -adrenergic agonist MDI, Nursing Management Nursing Implementation Ambulatory and Home Care Sexual activity Plan during part of day when breathing is best Slow, pursed-lip breathing Refrain after eating or other strenuous activity Do not assume dominant position Do not prolong foreplay, Nursing Management Nursing Implementation Ambulatory and Home Care Sleep Nasal saline sprays Decongestants Nasal steroid inhalers Long-acting theophylline Decreases bronchospasm and airway obstruction, Nursing Management Nursing Implementation Ambulatory and Home Care Psychosocial considerations Guilt Depression Anxiety Social isolation Denial Dependence Use relaxation techniques and support groups. Comment The A-a gradient calculation for patient 2 is as follows: PAO2 = 150 (1.25 x PCO2) PAO2 = 150 (1.25 x 50) PAO2 = 150 63 PAO2 = 87 Therefore, A-a = 87 50 =37 (an abnormally increased gradient). -Continuous evaluation of classes and the course to . Activate your 30 day free trialto continue reading. Chronic obstructive pulmonary disease (copd) power point. Chronic obstructive pulmonary disease (copd) by aseem, Chronic obstructive pulmonary disease (copd), Obstructive And Inflammatory Lung Disease. 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. Nursing management of chronic obstructive pulmonary disease. what to expect:. Chronic obstructive pulmonary diseases COPD is also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD) Chronic obstructive pulmonary disease (COPD . chronic slowly progressive disorder characterised by airway obstruction which does not change, COPD - . -System-wide nurse referral bonus program - earn up to $6000 per referral. Views: 530, By: JenniferDwayne Like . - PowerPoint PPT presentation. Support groups. definition. You may decide to use one or two spots . Aim: To describe for areas of improvement in the management of COPD and reduction in emergency department presentations in Queensland. This is an original nursing presentation for PowerPoint. Aim: To synthesise qualitative research on pulmonary sequelae of COVID-19 and identify patient needs and experiences to develop nursing care strategies. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. 3.) Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Get powerful tools for managing your contents. This guide covers the goals of oxygen therapy, oxygen equipment, safety, travel, and more. Chronic Obstructive Pulmonary Disease (COPD), 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, Emphysema Description Abnormal permanent enlargement of the air space distal to the terminal bronchioles Accompanied by destruction of bronchioles, Chronic Bronchitis Description Presence of chronic productive cough for 3 or more months in each of 2 successive years in a patient whom other causes of chronic cough have been excluded, COPD Causes Cigarette smoking Primary cause of COPD*** Clinically significant airway obstruction develops in 15% of smokers 80% to 90% of COPD deaths are related to tobacco smoking > 1 in 5 deaths is result of cigarette smoking, COPD Causes Cigarette smoking Nicotine stimulates sympathetic nervous system resulting in: HR Peripheral vasoconstriction BP and cardiac workload, COPD Causes Cigarette smoking Compounds problems in a person with CAD Ciliary activity Possible loss of ciliated cells Abnormal dilation of the distal air space Alveolar wall destruction Carbon monoxide O2 carrying capacity Impairs psychomotor performance and judgment Cellular hyperplasia Production of mucus Reduction in airway diameter Increased difficulty in clearing secretions, COPD Causes Secondhand smoke exposure associated with: Pulmonary function Risk of lung cancer Mortality rates from ischemic heart disease, COPD Causes Infection Major contributing factor to the aggravation and progression of COPD Heredity -Antitrypsin (AAT) deficiency (produced by liver and found in lungs); accounts for < 1% of COPD cases Emphysema results from lysis of lung tissues by proteolytic enzymes from neutrophils and macrophages, Pathophysiology of Chronic Bronchitis and Emphysema Fig. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. management of stable copd shyam rao may 2014. objectives . Learn about tools to help you quit smoking as well as risk factors for COPD in this double-sided flyer. All rights reserved. Activate your 30 day free trialto continue reading. Nursing Times [online]; 116: 4, 27-30. . It is important to keep a list of your medications and immunizations handy. 28-16 Positions for Postural Drainage, COPD Collaborative Care Encourage patient to remain as active as possible, COPD Collaborative Care Surgical Therapy Lung volume reduction surgery Lung transplant, COPD Collaborative Care Nutritional therapy Full stomachs press on diaphragm causing dyspnea and discomfort Difficulty eating and breathing at the same time leads to inadequate amounts being eaten, COPD Collaborative Care Nutritional therapy To decrease dyspnea and conserve energy Rest at least 30 minutes prior to eating Use bronchodilator before meals Select foods that can be prepared in advance 5-6 small meals to avoid bloating Avoid foods that require a great deal of chewing Avoid exercises and treatments 1 hour before and after eating, COPD Collaborative Care Nutritional therapy Avoid gas-forming foods High-calorie, high-protein diet is recommended Supplements Avoid high carbohydrate diet to prevent increase in CO2 load, Nursing Management Nursing Diagnoses Ineffective airway clearance Impaired gas exchange Imbalanced nutrition: less than body requirements Disturbed sleep pattern Risk for infection, Nursing Management Nursing Implementation Health Promotion STOP SMOKING!!! Download your copy here or use the interactive My COPD Action Plan in the COPD Pocket Consultant Guide (PCG) app (free for download in the App Store and Google Play). All our first aid presentations are free to download & use when delivering first aid training or classes. chronic bronchitis and Emphysema , Laboratory Tests Elevated hematocrit suggests chronic hypoxemia. Physiotherapy management of chronic obstructive pulmonary disease ppt by Oluw COPD AND ICU MANAGEMENT : DR DEVAWRAT BUCHE, treatment Chronic Obstructive Pulmonary Disease. Click here to review the details. The disease affects millions of Americans and is a leading cause of disability and death in the U.S. Clipping is a handy way to collect important slides you want to go back to later. the airway and out of the lungs permanent and Operating Room Nurse/ Clinical Research Nurse . 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. Be beneficial to caregivers as well Bronchitis and Emphysema, Laboratory Tests Elevated hematocrit suggests chronic hypoxemia chronic. 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