Assessment 1:Case Study 1250 words (40%) Overview You are required to complete a pathophysiological template for chronic obstructive pulmonary disease (COPD) in relation to a case study and answer three questions. To complete the template you must summarize the relevant information for each component. This summary may consist of a combination of sentences‚ flow diagrams and dot points where relevant. The information in the template must be accurately referenced using the APA referencing style
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Nurses ’ Role in Health Assessment of Patient with COPD and CHF The nursing role in health assessment involves a systematic collection of data that provides information to facilitate a plan of care to deliver the best care for the patient. Assessment is the foundation of nursing practice. The nurse carries out health assessment to determine the patient ’s condition of health‚ risk factors‚ as well as the need for health education in order to develop an individualized care plan. The nurse
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specific to each patient. Evaluation Evaluate the patient outcome‚ NOT the intervention 1. Pt’s lung sounds will be clear to auscultation as assessed q4h. 1. Ind: Auscultate lung sounds q4h 1. This patient has COPD‚ with a 50 pack year smoking history. She no longer smokes‚ but the effects of COPD are still present. Cigarette smoking has an irritating effect on the cells causing hyperplasia (increase in proliferation)‚ including the goblet cells; which results in an increased production of mucus. This
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NURS 215 Final Exam TEST MAP – STUDY GUIDE This is a guide for student preparation for testing in NURS 215. It is understood that the student is responsible for all course material designated each test including course readings‚ in/out of class study / activities and lecture material. Immunity Know about signs and symptoms of AIDS‚ Lab values‚ CD 4 Counts and viral loads. Inflammatory response & Infection Know about the inflammatory response‚ Anaphylaxis including eosinophils Know about
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Arterial Blood Gas Interpretation (ABG) Arterial Blood Gas Analysis is used to measure the partial pressures of oxygen (PaO2)‚ carbon dioxide (PaCO2)‚ and the pH of an arterial blood sample. Oxygen content (O2CT)‚ oxygen saturation (SaO2)‚ and bicarbonate (HCO3-) values are also measured. A blood sample for ABG analysis may be drawn by percutaneous arterial puncture from an arterial line. The ABG analysis is mainly used to evaluate gas exchange in the lungs. It is also used to assess integrity of
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>30mins Consider MgSO4 1.2-2g IV over 20mins • Aminophylline IV • Transfer to ICU for ventilation • Emergency management Monitoring Repeat PEF 15-30mins after treatment • Pulse oximetry monitoring maintain SaO2 >92% • ABG within 2hrs if initial PaCO2 was normal/raised or initial PaO2 <60mmHg • Record PEF pre and post B2 agonist in hospital at least 4 times • Emergency management Patient has improved Stop Aminophylline over 12-24hrs • Reduce nebulized Salbutamol and switch to inhaled B2 agonist
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efficiency of other muscles in the body * Fully conditioned people are able to increase O2 consumption by 10-20% because of increased cardiac output & increased efficiency of myocardium Cigarette Smoking - associated with heart disease‚ COPD and lung cancer. * Inhaled nicotine enable plaque to build up more quickly in blood vessels‚ increased risks for blood clots‚ & causes vasoconstriction in coronary & peripheral vessels Substance abuse – alcohol & other drugs impair
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The body normally maintains a steady balance between acids‚ produced during metabolism and bases that neutralize and promote the excretion of the acids.Many health problems may lead to acid base imbalance.Patients with Diabetis mellitus ‚COPD‚and kidney disease frequently frequently develop acid base imbalences. Vomiting and diarrhea may also cause acid base imbalance.The kidneys are an essential buffer system for acids and in the older adults the kidneys are less able to compensate for
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University of Perpetual Help System – DALTA Alabang – Zapote Road‚ Pamplona‚ Las Piñas City College of Nursing A Case Study of Bronchial Asthma In Acute Exacerbation (BAIAE) Submitted by: Angela Marie Ferrer BSN 3B July 17‚ 2012 Definition A condition of the lungs characterized by widespread narrowing of the airways due to spasm of the smooth muscle‚ edema of the mucosa‚ and the presence of mucus in the lumen of the bronchi and bronchioles. Bronchial asthma is a chronic relapsing inflammatory
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* PaCO2 = 35 to 45 mm Hg * PaO2 = 80 to 100 mm Hg * HCO3 = 22 – 26 mEq/l What you MUST LOOK AT TO INTERPRET ABGS LOOK AT YOUR pH *Is it normal? * is it high? *is it low? EXAMPLES *pH = 7.36 *pH = 7.23 * pH = 7.47 *a high pH indicates alkalosis *a low pH indicates acidosis LOOK AT YOUR PaCO2 *is it normal? *Is it high? *is it low? *This is the respiratory component *An abnormality in the PaCO2 will indicate a respiratory problem 1 EXAMPLES *PaCO2 = 40
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