Exam (elaborations)
NUR 353C COPD Care Plan
NUR 353C COPD Care Plan
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NUP 353 - CLINICAL CARE PLANNUR 353C COPD Care Plan 2023-2024
Pathophysiology:
COPD stands for chronic obstructive pulmonary disorder. What leads to this is things like smoking, secondhand smoke, and other
inhaled pollutants, which causes destruction of the air sacs in your lungs called alveoli and your airways leading down to your lungs.
This makes it difficult for your body to get oxygen to the rest of your body, and can make it very difficult to breathe.
Patient situation and background:
HG is a 68 y/o Latino M admitted to the hospital today for c/o pneumonia. His daughter found him unresponsive at home. Daughter
stated HG has hx of COPD and since his wife died recently, ETOH abuse.
PMHX (past medical history):
COPD
Final DX:
Pneumonia w COPD exacerbation
Complete the following table:
ASSESSMENT DATA: NURSING OUTCOME NURSING EVALUATION
SUBJECTIVE & DIAGNOSIS CRITERIA INTERVENTIONS
OBJECTIVE
Subjective: 1. Impaired gas 1a. Pt. ABGs will A1. Nurse will titrate O2 1a. Pts breathing returned to
- Recently retired exchange related return to baseline levels as needed. (Balanced within normal/acceptable
- Recently widowed to COPD and within two days O2 supply and demand, pg. range.
- Possible pneumonia 1544, Harding et al., 2020)
ETOH abuse
A2. Nurse will encourage
, NUP 353 - CLINICAL CARE PLAN
Subjective: incentive spirometer use.
- Hx of COPD (Postoperative Care, pg.
- Productive cough
335, Harding et al., 2020)
- Diminished
sounds at lung
bases A3. Nurse will administer
- BP: 150/49
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