Tap here to review the details. Sadness, tiredness, hopelessness and helplessness, social withdrawal and interpersonal problems, sleep and eating problems. Course Hero is not sponsored or endorsed by any college or university. The SlideShare family just got bigger. Virus Transmission-Understanding and Predicting Pandemic Risk, Small Cell Lung Cancer (SCLC): Diagnosis Treatment and Natural History, Current Management of Hereditary Angioedema - Considerations to Optimize Individualized Care. Views: 1320. The good news is COPD is often preventable and . COPD is the progressive and partially reversible Chronic obstructive pulmonary diseases & Nursing care. Contact Hours: 42.5 This nursing continuing professional development activity was approved by the American Association of Critical-Care Nurses, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Comment We can be reasonably confident that patient 1 suffered hypoventilation due to the effect of the ingested drugs on the brain stem. GOLD Teaching Slide Set. Copyright 2016 MedicPresents All rights reserved. Nurse-driven COPD self-management programs can be influential in an ACO's strategy to decrease avoidable utilization and cost. by espen gavin and zabihulla mirzai. , Laboratory Tests Elevated hematocrit suggests chronic hypoxemia. And/or About the Position: As the Area Practice Manager, you will oversee the operations of all Pulmonary and Critical Care Services (Critical Care providers only), including overseeing 40+ colleagues including: 11 physicians, 9 providers and APPs, 10 MAs/RNs, 1 Nursing Supervisor, 1 Assistant Clinical Lead, Lung Nodule Nurse Navigator, LN Program . experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another. It appears that you have an ad-blocker running. chronic bronchitis and Emphysema NURSE NP. Work with a versatile nursing presentation for PowerPoint. Create stunning presentation online in just 3 steps. COPD. 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&? 2003. definition. diagnosis initial investigation, COPD - . Avg rating:3.0/5.0. 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. The COPD Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. Ambient air pollution The relationship of air pollution to COLD remains unproven. Genetic factors 1 antitrypsin (1AT) deficiency Common M allele: normal levels S allele: slightly reduced levels Z allele: markedly reduced levels Null allele: absence of 1AT (rare) Lowest levels of 1AT are associated with incidence of COLD; 1AT deficiency interacts with cigarette smoking to increase risk. Paige Chavers DNP, ACNP-BC, MSPH: The COPD Foundation's My COPD Action Plan should be filled out the first time as part of a discussion with your health care provider, and then used daily or as often as you can. alison boland str respiratory medicine. argy teaching resident, feb. 2007. Appointments 216.444.6503. Transcript. Pneumothorax is one of the disorders of the chest and lower respiratory tract. PowerPlugs is a trademark of CrystalGraphics, Inc. A CT scan of your lungs can help detect emphysema and help determine if you might benefit from surgery for COPD. It is characterized by airflow limitation that is not completely reversible. Scavenger Hunt Week 3, Choice 1 Here finally is your chance to see The many facets of creativity; Theories, presentations, lessons & such Without reality are nothing much. Sometimes patients need to have a blood test (calledarterial blood gas) to measure the amounts of oxygen and carbon dioxide in the blood. -Continuous evaluation of classes and the course to . We've updated our privacy policy. two distinct processes are, COPD - . We've encountered a problem, please try again. epidemiology . We've updated our privacy policy. Causes and types of chronic obstructive . Chronic bronchitis without chronic airflow obstruction is not COLD. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. You can read the details below. Slides: 36. islamic university of science and technology, COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam, Nursing management of the client with increased intracranial pressure, Upper respiratory disorders and nursing mangement, Chronic obstructive pulmonary disease (copd) power point, COPD(chronic obstructive pulmonary disease) ppt slideshare, GOLD16 MANAGEMENT AND TREATMENT OF COPD, Emphysema-medical information |management |diagnosis | tests. Chronic Obstructive Pulmonary Disease (COPD) Slide 2-. Medications and treatments with things like respiratory exercise devices and inhalers can help you enjoy many good years with COPD. Activate your 30 day free trialto continue reading. You will also learn useful health and safety tips for managing your COPD. INTRODUCTION 26 slides. Chronic Obstructive Pulmonary Disease or Chronic Obstructive lung disease. Blood gases provide additional information about alveolar ventilation and acidbase status by measuring arterial PCO 2 and pH. welcome to the literature of the year. We've updated our privacy policy. Presentation Transcript. within 30 Days Required ; Fill out this wallet card and carry it with you. Comment The calculation reveals a normal gradient, indicating that the etiology for hypoxemia and hypoventilation is extrinsic to the lung itself. This booklet will help you plan for emergencies and stay safe during a disaster event. Msc Nursing 1st year The disease affects millions of Americans and is a leading cause of disability and death in the U.S. A widowed, 60-year-old, retired post office clerk, her main complaint is breathlessness after moderate exertion. Epidemiology >70% of COLD-related health care expenditures go to emergency department visits and hospital care (>$10 billion annually in the U.S.). By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. 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). Quieres ms informacin?Llame al 866.731.COPD (2673) y presione 9 para hablar en espaol con un paciente o cuidador. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. The signs and symptoms of COPD occur gradually, and may worsen as the disease progresses. What is hypertension? definition. The CRT responds to acute episodes for COPD patients before handing over to the IMPACT team of district nurses who manage chronic cases. juliana tambellini university of pittsburgh. within 30 Days Required ; Your hunt can take place anywhere. . Presentation on Obesity Name Course Date Introduction Obesity is the excess of . use of spirometry for case finding, diagnosis, and management of chronic, COPD - . PowerPoint slide set summarizing GOLD's objectives, documents, and management recommendations from the 2022 update of the GOLD Report, with background information about COPD and the burden of this disease. It appears that you have an ad-blocker running. tintinalli chapter 73. copd definition. CPR - Cardiac Pulmonary Resuscitation by completion of introductory period. The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. cydnee patterson, ali lubbers, nicole newinger , heidi proudfoot & kaitlin oudshoorn. This is one of the best free PPT templates for nursing. Energy-conserving tips are presented. chronic obstructive pulmonary disease. Free access to premium services like Tuneln, Mubi and more. Objective data is also assessed. definition epidemiology risk, COPD - . Chronic Obstructive Pulmonary Disease (Copd), Copd(chronic obstructive pulmonary disease), treatment Chronic Obstructive Pulmonary Disease. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Chronic obstructive pulmonary disease (COPD) is a long-term lung disease that involves the obstruction of airflow due to an inflammation of the lungs. In the United States alone it affects about 16 million people. Do not sell or share my personal information, 1. . When you breathe in, the airways bring air to the air sacs. Views: 481, By: DrDwayne Widescreen (16:9) Presentation Templates. British Journal of Nursing 17 (21). Barnett, M. (2008). The chest x-ray film revealed that this patients overdose was complicated by aspiration pneumonitis and that the patient required treatment with antibiotics in addition to mechanical ventilation. 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!!! airflow limitation that is progressive and not fully reversible abnormal, COPD- pulmonary hyperinflation- the diaphragms are at the, Occupational exposures to dust and fumes (e.g., cadmium), Distributions of forced expiratory volume in 1 s. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Uploaded on Sep 27, 2014. Free access to premium services like Tuneln, Mubi and more. c hronic o bstructive, COPD - . 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. Activate your 30 day free trialto continue reading. 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. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Hallmark symptom - Dyspnea Chronic productive cough Minor hemoptysis pink puffer blue bloater. diagnosis initial, COPD - . 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). We've updated our privacy policy. Acute exacerbations of chronic obstructive pulmonary disease (COPD) are a risk factor for disease deterioration, 1 and patients with frequent exacerbations have increased mortality. Every COPD patient has an anticipatory care plan which is created by their GP . Its important for individuals with COPD to stay healthy and enjoy their favorite activities. The DPP can also be found in the COPD Pocket Consultant Guide (PCG) app, available on the Apple App Store or Google Play. COPD. Cigar and pipe smoking Passive (secondhand) smoking Associated with reductions in pulmonary function Its status as a risk factor for COLD remains uncertain. Free access to premium services like Tuneln, Mubi and more. In addition, we have included a multitude of resources that you can edit to convey your information, such as graphics, map, infographics, etc. Internet Fundamentals for LEAs presentation by Jamie Gillespie for Cyber Pasi No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Use the contact form to get in touch 2023 CrystalGraphics, Inc. All rights Reserved. We've encountered a problem, please try again. He states he has been out of his medications for about 3, This week's content addresses common techniques and testing that can be prescribed by the Nurse Practitioner. Want to work with us? -System-wide nurse referral bonus program - earn up to $6000 per referral. You can read the details below. Distributions of forced expiratory volume in 1 s (FEV1)values in a generalpopulation sample, stratified by pack-years of smoking. This is an original nursing presentation for PowerPoint. 3. The Basics of COPD contains helpful information for individuals new to 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. 'Ve encountered a problem, please try again during a disaster event amp ; oudshoorn. 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