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!!! COPD PowerPoint Presentation. In the Tips for Living Well with COPD flyer, you will learn about tools, techniques, and resources to help you on your journey with COPD. Now customize the name of a clipboard to store your clips. 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. Please Review ONE of the following videos and post for the class what you have learned. Smoking is the most common cause. Muhammad Arslan Yasin Sukhera. You can read the details below. Tap here to review the details. Chronic obstructive pulmonary diseases COPD is also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD) Chronic obstructive pulmonary disease (COPD . 7pm. Typically performed by isoelectric focusing of serum, which reflects the genotype at the PI locus for the common alleles and many of the rare PI alleles Molecular genotyping can be performed for the common PI alleles (M, S, and Z). Lung cancer Clubbing of the digits is not a sign of COLD.In patients with COLD, development of lung cancer is the most likely explanation for newly developed clubbing. Do not sell or share my personal information, 1. Bandaged Teddy Bear - Nursing Templates Free. We've updated our privacy policy. Comment We can be reasonably confident that patient 1 suffered hypoventilation due to the effect of the ingested drugs on the brain stem. Chronic Obstructive Pulmonary Disease . 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. . Looks like youve clipped this slide to already. How to Add, Duplicate, Move, Delete or Hide Slides in Google Slides, How to Change the Slide Size in Google Slides, 26 different slides to impress your audience, Contains easy-to-edit graphics such as graphs, maps, tables, timelines and mockups, Includes 500+ icons and Flaticons extension for customizing your slides, Designed to be used in Google Slides and Microsoft PowerPoint, 16:9 widescreen format suitable for all types of screens, Includes information about fonts, colors, and credits of the free resources used. overview of copd recap basic knowledge update, COPD - . 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. Cigar and pipe smoking Passive (secondhand) smoking Associated with reductions in pulmonary function Its status as a risk factor for COLD remains uncertain. Updated November 2021. 21 slides. Therefore, the pulmonary (breathing) muscles in someone with COPD might require up to 10 times the calories needed by a person without COPD. Pharmacotherapy of Chronic Obstructive Pulmonary Disease, CODP ( Chronic Obstructive Pulmonary Disease ). . Considerations COLD is present only if chronic airflow obstruction occurs. -Partner with the Center for Education, Simulation, and Innovation to develop patient scenarios that foster the development of critical thinking skills. Explore family health practice innovations and models of care for clinical nursing practice globally. Asthma Reduced forced expiratory volume in 1 second (FEV1) in COLD seldom shows large responses (>30%) to inhaled bronchodilators, although improvements up to 15% are common. Download Presentation. A widowed, 60-year-old, retired post office clerk, her main complaint is breathlessness after moderate exertion. Log in. These include: Average cost of hospital stay for ten days = $10,000. Role includes: -Develop and coordinate the 4 week critical care core program and align with up to date evidence based nursing practice. Use the contact form to get in touch possible areas to cover. Number of Views: 680. Remember to update it at least every six months. Paige Chavers DNP, ACNP-BC, MSPH: COPD may include diseases that cause airflow obstruction (e.g., emphysema, chronic bronchitis) or a combination of these disorders. Epidemiology Age Higher prevalence with increasing age Doseresponse relationship between cigarette smoking intensity and decreased pulmonary function, Risk Factors Cigarette smoking is a major risk factor. chronic slowly progressive disorder characterised by airway obstruction which does not change, COPD - . Eneutron. what is 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. It is an under-diagnosed, life-threatening lung disease that interferes with normal breathing and is not fully reversible. Views: 1320. The app. Risk of acquiring nosocomial infections. COPD COMPLETE POWER POINT AS PER GOLD. chronic obstructive pulmonary disease in equine, COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam, Chronic obstructive pulmonary disease (copd) power point, Nursing care plans, concept map bronhial asthma, Introduction & investigations to respiratory diseases, L'Docile - Respiratory diseases & nebulization Report, J. Parker Emphysema Presentation Powerpoint, COPD - Chronic Obstructive Pulmonary Disease |medico X| Pathology. COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time. Background: If current trends in the management of COPD do not change, the predicted 4.5 million Australians diagnosed with COPD by 2050 will place significant burdens on already over-utilised frontline ED services. . Activate your 30 day free trialto continue reading. Ameritech College of Healthcare, Draper. , Laboratory Tests Elevated hematocrit suggests chronic hypoxemia. An X-ray can also rule out other lung problems or heart failure. The air buildup puts pressure on the lung (s), so it cannot expand as much as it normally. CT scan. alison boland str respiratory medicine. 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However, people whose disease progresses to more severe stages . In the United States alone it affects about 16 million people. The Basics of COPD contains helpful information for individuals new to COPD. Separately COPD is more costly per case than . The diagnosis is confirmed by spirometry.Other tests may include a 6-minute walk test, laboratory testing, and radiographic imaging.. Assessment - A diagnosis of COPD should be considered in patients over the age of 35 who have a risk factor (generally smoking) and who present with exertional breathlessness, chronic . chronic bronchitis emphysema. dinner was great, coffee is brewing and you are all debating, COPD - . Electrocardiography may detect signs of ventricular hypertroph, Classification GOLD stage Classification based on pathologic type, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. As with previous editions, the 2018 Global . Chronic Obstructive Pulmonary Disease (COPD), COPD Description Characterized by presence of airflow obstruction Caused by emphysema or chronic bronchitis Generally progressive May be accompanied by airway hyperreactivity May be partially reversible, Emphysema Description Abnormal permanent enlargement of the air space distal to the terminal bronchioles Accompanied by destruction of bronchioles, Chronic Bronchitis Description Presence of chronic productive cough for 3 or more months in each of 2 successive years in a patient whom other causes of chronic cough have been excluded, COPD Causes Cigarette smoking Primary cause of COPD*** Clinically significant airway obstruction develops in 15% of smokers 80% to 90% of COPD deaths are related to tobacco smoking > 1 in 5 deaths is result of cigarette smoking, COPD Causes Cigarette smoking Nicotine stimulates sympathetic nervous system resulting in: HR Peripheral vasoconstriction BP and cardiac workload, COPD Causes Cigarette smoking Compounds problems in a person with CAD Ciliary activity Possible loss of ciliated cells Abnormal dilation of the distal air space Alveolar wall destruction Carbon monoxide O2 carrying capacity Impairs psychomotor performance and judgment Cellular hyperplasia Production of mucus Reduction in airway diameter Increased difficulty in clearing secretions, COPD Causes Secondhand smoke exposure associated with: Pulmonary function Risk of lung cancer Mortality rates from ischemic heart disease, COPD Causes Infection Major contributing factor to the aggravation and progression of COPD Heredity -Antitrypsin (AAT) deficiency (produced by liver and found in lungs); accounts for < 1% of COPD cases Emphysema results from lysis of lung tissues by proteolytic enzymes from neutrophils and macrophages, Pathophysiology of Chronic Bronchitis and Emphysema Fig. Provided by: Wad5. At the end of the end of the 16th International Family Nursing Conference, attendees should be able to discuss global advancements in family nursing education for students and professionals. This flyer highlights the benefits and importance of quitting smoking at any age. Now customize the name of a clipboard to store your clips. The inclusion criteria for . Acute exacerbations of chronic obstructive pulmonary disease (COPD) are a risk factor for disease deterioration, 1 and patients with frequent exacerbations have increased mortality. This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here (if the PDF fails to fully . 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&? Click here to review the details. Support groups. Our beautiful, affordable PowerPoint templates are used and trusted by both small and large companies around the world. NURSE NP. Chronic Obstructive She is a passionate nurse, educator and researcher, with research interests in undergraduate nursing education, nursing workforce, chronic illness experience, patient education, health . Cancellation Policy: Widescreen (16:9) Presentation Templates. Presentation having lung patient senior with oxygen . And/or Chronic obstructive pulmonary disease ppt, Chronic obstructive pulmonary disease by aminu arzet, CODP ( Chronic Obstructive Pulmonary Disease ), COPD - Chronic obstructive pulmonary disease - Aby, Pharmacotherapy of Chronic Obstructive Pulmonary Disease, Chronic Obstructive Pulmonary Disease (COPD). Quieres ms informacin?Llame al 866.731.COPD (2673) y presione 9 para hablar en espaol con un paciente o cuidador. tintinalli chapter 73. copd definition. progressive obstruction over time. Weakness. Clipping is a handy way to collect important slides you want to go back to later. Epidemiology Fourth leading cause of death in the U.S. Affects > 16 million persons in the U.S. Global Initiative for Chronic Obstructive Lung Disease (GOLD) estimates suggest that chronic obstructive lung disease (COLD) will increase from the sixth to the third most common cause of death worldwide by 2020. ss visser, pulmonology internal medicine up. Colorful theme enhanced with senior-man-as-a-patient backdrop and a lemonade . Operating Room Nurse/ Clinical Research Nurse . pulmonary edema; North Carolina State University . Course Hero is not sponsored or endorsed by any college or university. PPT layouts enhanced with lung - senior woman gets first aid background and a . MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. 527 Views Download Presentation. Epidemiology >70% of COLD-related health care expenditures go to emergency department visits and hospital care (>$10 billion annually in the U.S.). GOLD Teaching Slide Set. California State Musculoskeletal Metabolic and Multisystem Health Dysfunction Callimbah is a successful company that is involved in the.docx, California State University Economists and Finance of Tesco Presentation.docx. 866.731.Copd ( 2673 ) y presione 9 para hablar en espaol con un paciente o.... Other lung problems or heart failure information for individuals new to COPD not fully reversible of quitting smoking any! 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