briefly review the gold classification of copd, COPD - . It appears that you have an ad-blocker running. Title: PowerPoint Author: PONG Last modified by: peak Created Date: 6/14/2012 10:12:34 AM Document presentation format - PowerPoint PPT presentation. A widowed, 60-year-old, retired post office clerk, her main complaint is breathlessness after moderate exertion. It has a simple style, with a white background and light blue waves and lines, which convey elegance and serenity. 1.) By accepting, you agree to the updated privacy policy. Chronic obstructive pulmonary disease (COPD)is a disease state characterized by airflow limitation that is not fully reversible. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Acute exacerbations of chronic obstructive pulmonary disease (COPD) are a risk factor for disease deterioration, 1 and patients with frequent exacerbations have increased mortality. experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another. At the end of the end of the 16th International Family Nursing Conference, attendees should be able to discuss global advancements in family nursing education for students and professionals. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. The SlideShare family just got bigger. Widescreen (16:9) Presentation Templates. For health care professionals, hard copies of the COPD Pocket Consultant Guide, including the treatment decision tree, seven COPD severity domains, the CAT, the mMRC Breathlessness Scale, and listings of brand or generic medications are available for download below. Now customize the name of a clipboard to store your clips. When you breathe in, the airways bring air to the air sacs. Tachypnea Accessory respiratory muscle use. chronic obstructive pulmonary disease. Chronic Obstructive Pulmonary Disease (COPD) Slide 2-. courtney pearce & jenna paterno . Log in. Mr. Yahye Sheikh Abdulle Presentation Transcript. Role includes: -Develop and coordinate the 4 week critical care core program and align with up to date evidence based nursing practice. 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. Now customize the name of a clipboard to store your clips. COPD - . An X-ray can also rule out other lung problems or heart failure. The COPD Foundation Disaster Preparedness Plan (DPP) is a comprehensive resource for individuals and families impacted by chronic lung diseases, including COPD. However, people whose disease progresses to more severe stages . 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Clipping is a handy way to collect important slides you want to go back to later. 20-23 June 2023 Dublin, Ireland. dinner was great, coffee is brewing and you are all debating, COPD - . You will also learn useful health and safety tips for managing your COPD. We've encountered a problem, please try again. chronic bronchitis emphysema. 3. Download Presentation. . Views: 355, By: DrDwayne You can read more about the PCG tracks for patients and caregivers and for health care professionals. Copyright 2016 MedicPresents All rights reserved. Clipping is a handy way to collect important slides you want to go back to later. Operating Room Nurse/ Clinical Research Nurse . . By accepting, you agree to the updated privacy policy. Learn about tools to help you quit smoking as well as risk factors for COPD in this double-sided flyer. 7pm. Asthma patients can also develop chronic (not fully reversible) airflow obstruction. This booklet covers many important topics, such as how COPD is diagnosed, treatment options, how to manage COPD symptoms and flare-ups, tips for living well with a lung condition, and how to cope with COPD. 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. 1. We've updated our privacy policy. Chronic obstructive advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. View (Order 4698406) Powerpoint Presentation on Obesity (2).pptx from ENG 246 at North Carolina State University. Views: 481, By: DrDwayne by Anna Curran. Electrocardiography may detect signs of ventricular hypertroph, Classification GOLD stage Classification based on pathologic type, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. 21 slides. All our first aid presentations are free to download & use when delivering first aid training or classes. 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!!! Chronic obstructive pulmonary disorders COPD is a [preventable and treatable disease with some significant extra pulmonary effects that may contribute to the severity in individual clients. 2023 Spring Consortium: On-Demand. Slides: 36. Energy-conserving tips are presented. SBAR is an effective and easy-to-use communication tool that divides patient status points to be conveyed into categories. 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. Like . 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. Chronic obstructive pulmonary disease, also known as COPD, encompasses a group of diseases that cause problems with breathing. 270 views. 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. Y4! t/_:]I#k,^#?&&z,$\Te"I~GJdIn(7#,+}z/I86sbV7Nw4-"erbO2Zcl-1z~cw{+htMFj;*$RQm=@9i!emM}guOs\7+hc~#uM=iM%:-:;tt >*b/)2kc/):f3c:fc:f8W):NR#iK|bj,YT=^i31:_uWYY]Fte#0&? 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