Professional Documents
Culture Documents
COPD
Chronic Obstructive
Pulmonary Disease
Objectives
Define COPD.
Identify causes of COPD.
List the signs and symptoms of COPD.
Describe the management and care for
COPD.
List the complications of COPD.
Discuss relevant patient / family
education.
Definition
Chronic obstructive pulmonary disease
(COPD) is a group of conditions causing
the chronic or recurrent obstruction of
airflow. It can result from the combination
of symptoms associated with:
Chronic bronchitis
Emphysema
Asthma
Causes
Chronic Bronchitis
Emphysema
Asthma
Nursing Assessment
Nasal flaring
Cyanosis
Dyspnea
Decreased respiratory effort
Decreased LOC
Accessory muscle use
Decreased breath sounds
Decreased oxygen saturation
Chronic
bronchitis
Dyspnea
Cyanosis
Prolonged expiration
Scattered crackles, rhonchi
and wheezing
Cardiac dysrhythmias
Increased mucus production
Productive cough
Increased anterior-posterior
diameter
Peripheral edema
Normal respiratory rate
Asthma
Diagnostic Procedures
Diagnostic Procedures
Nursing Interventions
Nursing Interventions
Continuously monitor vital signs, including
oxygen saturation.
Prepare for more aggressive measures in
case the patient's condition worsens.
Greater ventilatory support may become
necessary.
Continuously monitor for cardiac
dysrhythmias.
Nursing Interventions
Nursing Interventions
Commonly ordered medications include:
1. Nebulized inhalers - medication is
inhaled by the patient.
2. Bronchodilator - stimulates b-receptors
for bronchodilation. Medication is inhaled
through the mouth. The dosage differs,
based on the type of bronchodilator used
as well as the patient's age and acute or
chronic condition.
Nursing Interventions
3. Corticosteroids - decrease inflammation
of epithelial cells in asthma.
4. Antibiotics may also be given if an
infectious process is suspected.
Administer as ordered by the physician,
and discuss administration with the
patient to ensure that antibiotic therapy is
continued when the patient is released, if
needed.
Patient Management
Helpful breathing techniques, such as
pursed-lip and diaphragmatic breathing
How to position the patient's body for
optimal air exchange
Changing eating habits so he or she eats
small, frequent meals rather than large
meals
Patient Management
The importance of exercise
The need to cough up sputum
Keeping the body hydrated
Avoiding known triggers
Medication compliance
Complications
Respiratory acidosis
Alternative Names
Definition
Causes
Symptoms
Signs
A chest x-ray or CAT scan may be done to
diagnose possible lung disease
Pulmonary function tests may help
diagnose lung disease
Arterial blood gases help assess the
severity of the respiratory acidosis, and
may detect abnormal oxygen levels
Nursing Care
Smoking cessation is extremely important
Bronchodilator drugs may reverse some
airway obstruction
Oxygen may be necessary if the blood
oxygen level is low
Non-invasive positive-pressure ventilation
or mechanical ventilation may be
necessary if the respiratory acidosis is
severe
Complications
Not smoking -- or quitting if you smoke -can prevent the development of many
severe lung diseases that can lead to
respiratory acidosis. Obese patients may
prevent obesity hypoventilation syndrome
by losing weight