Copd case study nursing students

Nail clubbing is not a typical finding in patients with COPD and its presence usually suggests comorbidities such as bronchiectasis , pulmonary fibrosis , or lung cancer!

Nursing Case Studies on COPD

References: [5] [1] [2] [13] [14] [10] [15] [16]. References: [5] [1] [17] [2] [18]. References: [2] [19] [20] [21]. References: [5] [1] [17] [2] [22] [23] [24] [25] [26].

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Since acute exacerbation of COPD is a life-threatening emergency, the patient's condition should be assessed as soon as possible and, if necessary, the patient should be admitted to the intensive care unit. References: [5] [17] [28] [29] [25] [27]. We list the most important complications.

Nursing Case Studies on Copd Essay - Words | Bartleby

The selection is not exhaustive. References: [30] [31]. Clinical science Chronic obstructive pulmonary disease COPD is a preventable lung disease characterized by airway obstruction due to inflammation of the small airways. COPD : A chronic pulmonary disease that presents with progressive shortness of breath caused by airway inflammation. It is subdivided into chronic bronchitis and emphysema.


Chronic bronchitis : productive cough cough with expectoration for at least 3 months each year for 2 consecutive years Emphysema : permanent dilatation of pulmonary air spaces distal to the terminal bronchioles. The condition is caused by the destruction of the alveolar walls and of the pulmonary capillaries required for gas exchange.

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  • Passive smoking Air pollution and exposure to fine dust Occupational exposure to organic and nonorganic dust: e. Chronic inflammation of the airways characterized by an increased number of neutrophils , macrophages , and T lymphocytes : Goblet cell proliferation , mucous hypersecretion, and impaired ciliary function Reid index : histologic measurement used to determine the ratio between the thickness of mucus-secreting glands and the thickness between epithelium and cartilage in the bronchial tree.

    Chest x-ray : not sensitive, especially during early stages Barrel chest Horizontal ribs and widened intercostal spaces Increased anteroposterior diameter The diaphragm is pushed down and flattened. Asthma COPD Initial diagnosis Common in children and teenagers Common in the 2 nd half of life Etiology Allergic and non-allergic analgesic -induced , infectious, chemical, or toxic Primarily affects smokers Clinical features Episodic: interspersed with symptom-free phases; sudden onset Chronic and progressive; gradual-onset Obstruction Reversible Irreversible Effect of medicines Responds well to long-term inhaled glucocorticoids Responds well to parasympatholytics e.

    Physical examination

    General considerations Cessation of tobacco use single most effective step to slow decline in lung function Vaccinations Pneumococcal every 5—6 years Influenza annual Pulmonary rehabilitation: physiotherapy with breathing exercises, such as pursed lip breathing Supportive treatment e. Common causative agents include Haemophilus influenzae and Streptococcus pneumoniae and viruses.

    Other triggers: drugs e. Prepare and succeed on your medical exams. It is characterised by airflow obstruction that is not fully reversible.

    Management and Treatment of COPD

    About people die in Barnet each year; from a smoking-related disease. There is an estimated COPD prevalence of 1. The author runs respiratory clinics in general practices and a community pharmacy in the borough. Please login or register to read the rest of the article and to have access to downloads and comments. What do you think? Leave a comment below or tweet your views to IndyNurseMag. This material is protected by MA Healthcare Ltd copyright. See Terms and Conditions.