What is the pressure level in the plural space?
-4
COPD consists of
chronic bronchitis and emphysema
COPD is a
preventable and treatable slow progressive respiratory disease
In COPD, there is a decrease in
lung capacity
FEV 1
forced expiratory volume in one second
Emphysema s/s
cough for more than 3 months
Increase mucous
Thick bronchial walls
Frequent infections
(PINK PUFFER)
Chronic bronchitis
,Increased dead space
How can you diagnose COPD
CXR
Barrel chest (AP diameter is altered. Normal is 2:1)
PFT
IS
Increased H&H
Clubbing (chronic)
Albuterol is a
bronchodilator (beta 2 agonist)
Anti-cholinergic drug
Ipratropium (Atrovent)
Predinisone is a
Corticosteroid (IV IM)
Budesonide is also known as
Pulmicort
Education for budesonide/pulmicort
Rinse your mouth cuz it could cause thrush or opportunistic
infections
Acetylcysteine is a
Mucolytic
,Mucolytics
mobilize secretions
You don't want to increase O2 sats in people with COPD
because it could cause them to become
hypercapnic
Guaifenesin is a
expectorant
Expectorants
Get mucus out
Primary antibiotics used for respiratory infections
Penicillins and cephalosporins
Nursing management for COPD
Clear airway
Increase activity tolerance
Improving breathing patterns (pursed lip breathing)
Monitor and manage complications (O2 sats, ABGs, RR, HR)
Patient teaching for COPD
Do activities as tolerated
Sleep upright
Avoid extreme temperatures
Avoid smoking and pollution
, Diaphragmatic breathing
Get vaccines
hand washing
Proper sleep and nutrition
patient teaching about sputum
Color and consistency
proper hydration
Nasal saline
Sarcoidosis
chronic inflammatory disease in which small nodules
(granulomas) develop in lungs, lymph nodes, and other organs
Who is the highest risk population for sarcoidosis
African Americans
Signs and symptoms of sarcoidosis
Bilateral ocular pain, photophobia and decreased
vision. Shortness of breath.
Iris Nodules (koeppe nodules pupil margin vs Busacca all
around iris)
Mutton Fat KP's
Vasculitis (Candle-Wax Drippings)
Hemoptosis
How to diagnose sarcoidosis
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