Obstructive Pulmonary Diseases

Dyspnea Assessment
Click the card to flip 👆
1 / 18
Terms in this set (18)
Dyspnea Assessment
Dyspnea, orthopnea, at night NONE
Yes VS WNL, no restlessness, color pink, no lightheadedness
Secretions and sputum clear
Precipitating factors=none
No cough
Evaluation O2>92%
Adventitious breath sounds no, no arhythmia, no accessory muscle use, symmetrical chest expansion, no activity intolerance
Tachycardia, tachypnea, tightness in chest
Restless
Assess wheezing and use of accessory muscles
Production of mucus and prolonged expiration
SaO2 is low
Asthma assessment
Soft frequent high calorie meals to conserve O2
Asthma Diet
Supplemental O2 to keep 90% or higher
MDI
ECG monitoring
Status Asthmaticus
- Emergency intubation
- O2
- bronchodilators
- Epinephrine and steroids
Asthma Equipment
BREATHE assessment
systemic bronchodilators
Inhaled steroids and anti-inflammatories to reduce edema
Asthma Interventions
- weight gain due to retention
- compromises immune system
- increases blood sugar
Steroid Side effects
purse lip breathing
pace activities with rest
vaccine importance
good oral care monitor for cold sores
hydration
take steroids w/food
meds to prevent flare ups
Asthma Patient teachings
wheezing
cough
chest tightness
dyspnea
Prolonged expiration due to trapped air
Silent chest: life threatening
- airway obstruction or impending resp. failure
Asthma Manifestations
Adrenergic
Steroids
Theophylline (ICU)
Hydration
Maintain O2 stat above 90%
Anticholinergics
Asthma Management
for long term asthma management
anti-inflammatory and anti-allergy that suppresses inflammatory response
contraindicated if hypersensitive to steroids
do not abruptly switch from oral to inhaled
Use with caution in patients who have liver and adrenal problems
Pulmicort
antihistamine controls allergy symptomsZyrtecnasal polyps,asthma, and sensitivity to aspirin and NSAIDS and salicylic acidAsthma triadace inhibitors: cause cough beta blockers: induce bronchospasm tartrazine: yellow dye 5 Sulfite containing preservativesAsthma patients must avoid...extreme acute asthma attack -hypoxia -hypercapnia -acute resp. failure without treatment leads to hypotension, bradycardia, and resp/cardio arrest Emergency Treatment: steroids and bronchodilators do not work! - intubation and mechanical ventilation - hemodynamic monitoring - analgesia and sedation V Mg sulfateStatus asthmaticusChronic inflammatory response in lungs persistent airflow limitationCOPDpresence of cough and sputum production for at least 3 months in each of 2 consecutive yearsChronic bronchitisairway flow problem dusky to cyanotic color recurring cough and sputum produxn hypoxic hypercapnic respiratory acidosis Increases Hgb Increases Resp. rate exertional dyspnea digital clubbing cardiac enlargement right sided heart failure use of accessory musclesChronic bronchitis manifestationsdestruction of alveoli Co2 retention minimal cyanosis pursed lip breathing dyspnea increase resp. rate hyperresonance on chest percussion orthopneic barrel chest exertional dyspnea prolonged expiration talks in short jerky sentences anxious use of accessory muscles thin appearance chest breather fatigue wheezing and chest tightness decreased breath sounds tripod position polycthemia and cyanosis increase RBC production peripheral edema around anklesEmphysema manifestations