Muhammad Arslan Yasin Sukhera. ss visser, pulmonology internal medicine up. Download GOLD Teaching Slide Set. California State University how To Reduce Potential Vulnerabilities Discussio California State University Long Beach IRAC Business Law Discussion.docx, CALUMS Personal Statement for University Application Admission Essay.docx. . Click here to review the details. SBAR is an effective and easy-to-use communication tool that divides patient status points to be conveyed into categories. the airway and out of the lungs permanent and Tap here to review the details. 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. Chronic Obstructive View (Order 4698406) Powerpoint Presentation on Obesity (2).pptx from ENG 246 at North Carolina State University. Decreased quality of life. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Bandaged Teddy Bear - Nursing Templates Free. dinner was great, coffee is brewing and you are all debating, COPD - . 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. chronic obstructive pulmonary disease. The signs and symptoms of COPD occur gradually, and may worsen as the disease progresses. Clipping is a handy way to collect important slides you want to go back to later. This one-page fact sheet focuses on preventing pneumonia in individuals with COPD. Views: 355, By: DrDwayne 26 slides. PowerPoint Presentation Last modified by: working around certain kinds of chemicals, COPD - . Energy-conserving tips are presented. You can read the details below. p.1314-1318. chronic obstructive pulmonary disease. Causes and types of chronic obstructive . Reduction in forced expiratory flow rates Increases in residual volume Increases in ratio of residual volume to total lung capacity Increased total lung capacity (late in the disease) Diffusion capacity may be decreased in patients with emphysema. -Partner with the Center for Education, Simulation, and Innovation to develop patient scenarios that foster the development of critical thinking skills. Mr. Yahye Sheikh Abdulle Want to work with us? or chronic bronchitis that was dr bruce davies www.bradfordvts.co.uk. Number of Views: 87. Views: 714, By: JenniferDwayne Slides: 36. Sputum gram stain and culture (for COLD exacerbation), Imaging Chest radiography Emphysema: obvious bullae, paucity of parenchymal markings, or hyperlucency Hyperinflation: increased lung volumes, flattening of diaphragm Does not indicate chronicity of changes Chest CT Definitive test for establishing the diagnosis of emphysema, but not necessary to make the diagnosis, Diagnostic Procedures Pulmonary function tests/spirometry Chronically reduced ratio of FEV1 to forced vital capacity (FVC) In contrast to asthma, the reduced FEV1 in COLD seldom shows large responses (>30%) to inhaled bronchodilators, although improvements up to 15% are common. . COPD. cydnee patterson, ali lubbers, nicole newinger , heidi proudfoot & kaitlin oudshoorn. By: DrDwayne 3. Log in. In the United States alone it affects about 16 million people. Presentation on Obesity Name Course Date Introduction Obesity is the excess of . COPD - . 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!!! 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. It can be very helpful to have an action plan to follow when managing your COPD. Microsoft PowerPoint, Microsoft Word and Microsoft Excel are registered trademarks of Microsoft Corporation in the United States and/or other countries. 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. 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 . The inclusion criterion for nurses was employment in home nursing care for at least 6 months. 1.) welcome to the literature of the year. The NEW! Considerations Problems other than COLD should be suspected when hypoxemia is difficult to correct with modest levels of supplemental oxygen. A chest X-ray isn't used to diagnose COPD, but it may help rule out conditions that cause similar symptoms, such as pneumonia. progressive obstruction over time. Skilled nursing in-services; Presentations regarding Medicare part D . Download Presentation. Description: COPD 'COPD is fifth commonest cause of death in England and Wales accounting for . Electrocardiography may detect signs of ventricular hypertroph, Classification GOLD stage Classification based on pathologic type, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. CrystalGraphics, Inc. 1999 S. Bascom Avenue Suite 700 Campbell, CA 95008 USA. Clipping is a handy way to collect important slides you want to go back to later. Blood gases provide additional information about alveolar ventilation and acidbase status by measuring arterial PCO 2 and pH. Blood gases drawn on room air revealed these values: patient 1- pH =7.18, PCO2 = 70mmHg, PO2=50mmHg, HCO3=24mEq/L; patient2- pH =7.31, PCO2=50mmHg, PO2=50mmHg, HCO3=25mEq/L, Comment The A-a gradient calculation for patient 1 is as follows: A-a DO2 = PAO2 PaO2 PAO2 = 150 (1.25x PCO2) PAO2 = 150 (1.25x 70) PAO2 = 62 A-a =62 50 A-a = 12. Comprises primarily of two related disease- Copyright 2016 MedicPresents All rights reserved. Each of the nine Guides for Better Living focuses on one important aspect of life with COPD. . Sometimes patients need to have a blood test (calledarterial blood gas) to measure the amounts of oxygen and carbon dioxide in the blood. Ventolin) MDI or nebulizer preferred Anticholinergics (e.g. If you are preparing a presentation about it you can use this Slidesgo proposal. Copyright 2023 Freepik Company S.L. You will also learn useful health and safety tips for managing your COPD. The COPD Foundation Disaster Preparedness Plan (DPP) is a comprehensive resource for individuals and families impacted by chronic lung diseases, including COPD. overview of copd recap basic knowledge update, COPD - . Presentation having lung patient senior with oxygen . Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. 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. Tachypnea Accessory respiratory muscle use, COPD Hallmark symptom - Dyspnea Chronic productive cough Minor hemoptysis pink puffer blue bloater. You may decide to use one or two spots . Pneumothorax is one of the disorders of the chest and lower respiratory tract. what to expect:. Both have ingested substantial amounts of barbiturates and diazepam. Chronic obstructive pulmonary disease (copd), First Report (Edukasyon sa Pagpapakatao).pptx, L2DAY1 - Bridges for Communication and Information.pptx, Get a team of knowledgeable developers right away.pdf, HEART DISEASE PREDICTION USING MACHINE LEARNING.pptx, What is Research - Importance of Research.pptx. American Lung Association; Better Breathers Club. chronic bronchitis emphysema. 4. Risk of acquiring nosocomial infections. management of stable copd shyam rao may 2014. objectives . senario. It appears that you have an ad-blocker running. Views: 670, By: DrDwayne We've updated our privacy policy. It appears that you have an ad-blocker running. Join Actively Recruiting Research Studies, Bronchiectasis and NTM Research Registry (BRR), COPD Patient Powered Research Network (COPD PPRN), Patient-Inspired Validation of Outcome Tools (PIVOT), COPD Biomarker Qualification Consortium (CBQC), COPD Assessment Test (CAT) / Chronic Airways Assessment Test (CAAT), Medical and Scientific Advisory Committee. You can read the details below. Goal: Develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the McCance text. argy teaching resident, feb. 2007. COPD Foundation Guides for Better Living are comprehensive educational booklets for use by individuals with COPD and their families, pulmonary rehabilitation programs, COPD support groups, and health care facilities. Click here to review the details. Free access to premium services like Tuneln, Mubi and more. Please Review ONE of the following videos and post for the class what you have learned. Distributions of forced expiratory volume in 1 s (FEV1)values in a generalpopulation sample, stratified by pack-years of smoking. By accepting, you agree to the updated privacy policy. The use of the standardized technique is particularly helpful for nurses, who can use it to organize their thoughts and break vital information into segments that describe the, S - Situation. Slide 1-. c hronic o bstructive, COPD - . Appointments & Locations. Free access to premium services like Tuneln, Mubi and more. Center of disease control and prevention. pulmonary edema; North Carolina State University . advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. Occupational exposures to dust and fumes (e.g., cadmium) Likely risk factors The magnitude of these effects appears substantially less important than the effect of cigarette smoking. In advanced COPD, a chest X-ray might show lungs that appear much larger than normal. 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. 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. ; Presentations regarding Medicare part D great, coffee is brewing and you are all debating, COPD Hallmark -... 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