Term
| The primary nursing dx for COPD is improving Oxygenation. What are the goals of O2 Therapy? |
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Definition
- reduce work of breathing
- maintain PaO2 (>=88%)
- reduce workload on heart |
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Term
| What are potential problems with O2 therapy? |
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Definition
- Hyperoxia (O2 toxicity)
- CO2 Narcosis (low O2 has been driving breathing so when the O2 goes up they STOP breathing)
- Combustion (Fire) |
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Term
| What is the FIO2 of Room Air? |
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Definition
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Term
| What is the FIO2 of a nasal cannula? |
|
Definition
| 24-40%, really DRY and humidification at above 4L (1-6L) |
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Term
| What is the FI02 of a mask? What type of patient is this good for? |
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Definition
35-50%, 5-8 L/min
- claustrophobics
- GOOD FOR MOUTH BREATHERS! |
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Term
| What do you watch out for with a non rebreather mask? |
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Definition
| Make sure bag is inflated |
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Term
| When do you use a venturi mask? |
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Definition
| for patients with HYPERcapnia |
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Term
| What are the Ns Interventions to improve impaired gas exchange in COPD patients? |
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Definition
- respiratory meds
- tripod positioning
- COOL AIR can decrease dyspnea
- diaphragmatic breathing
-ESPECIALLY pursed lip breathing |
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Term
| Which patients is pursed lip breathing indicated? |
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Definition
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Term
| What are the benefits of PLB? |
|
Definition
- Incr expiratory volume by 20%
- decr RR/SOB
- increases SpO2 (Hg saturation)
- Increases tidal volume (vol air inhaled/exhaled w each breath) |
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|
Term
| What can improve outcomes in terms of survival for COPD patients? Do they still need it once they've recovered? |
|
Definition
- O2 therapy -- meds do not improve outcomes
- NO. |
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|
Term
| Can patients become desensitized to SOB? |
|
Definition
| YES, as they build up their fitness they'll notice they'll be able to do MORE with the same level of SOB! |
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Term
| Why is PLB helpful for COPD? |
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Definition
| You want expiration to be twice as long as inspiration and it helps them exhale all that stale air. COPD pts have the hardest time exhaling. |
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Term
| What are the benefits of improving activity intolerance? |
|
Definition
- Skeletal muscles use oxygen better
- decreases hyperinflation
- desensitization to dyspnea
- decreases depression and anxiety |
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Term
| What are some interventions to increase activity intolerance? |
|
Definition
- Pace daily activities
- conserve energy by sitting when possible
- simplify tasks
- avoid activity after meals
- promote sleep and rest pds |
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Term
| How can patients prevent COPD? |
|
Definition
- QUIT SMOKING
- annual flu shot
- pneumococcal pneumonia vaccine
- avoid allergens
- hand hygeine
- advance care planning
- Action plan for AECOPD |
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|
Term
| How do you prepare a COPD patient for exercise? |
|
Definition
- Bronchodilators
- music
- coach on purse lipped breathing
- VITALS: take O2 sats, HR and RR |
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|
Term
| What is the best medicine for a patient with COPD? |
|
Definition
| EXERCISE! We cannot change the damage to lungs so we try to work with other modifiable ways. |
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|
Term
| What therapies improve outcomes for patients with Idiopathic Pulmonary Fibrosis? |
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Definition
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|
Term
| Is IPF intrinsic or extrinsic restrictive lung disease? |
|
Definition
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|
Term
| Is muscular dystrophy an intrisic or extrinsic restrictive lung disease? |
|
Definition
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