COPD Flashcards
What results from repeated exposure to respiratory irritants & begins to damage structure of respiratory system?
COPD
What causes the excessive bronchial mucus secretion?
Example: obstruction
Chronic bronchitis
What causes the destruction of walls of alveoli?
Example: air trapping
Emphysema
COPD is: (select all)
A-leading cause of death, illness, & disability
B-Curable
C-Preventable
D-Caused by aspiration
E-Can be caused by asbestos
A- leading cause of death, illness, & disability
C-preventable
E-can be caused by asbestos
What part of the alveoli are damaged when a pt has emphysema?
A- whole
B- 3rd layer
C- Inner walls
D- Outer layer
C- inner walls
Emphysema creates ______ air spaces instead of multiple _______ ones
-larger
-smaller
What is also damaged within alveoli in emphysema?
A-Bronchial tube
B-Elastin
C-Connective tissue
D-Alveolar sacs
B- Elastin
What would a pt be diagnosed with if they had a productive cough lasting 3 or more months in 2 consecutive years?
Chronic bronchitis
What are 3 processes in chronic bronchitis? (select all)
A-Excessive mucus production
B-O2 sat >90
C-Persistent airway edema
D-Impaired airway clearance
E-Constant productive cough
A- excessive mucus production
C- persistent airway edema
D-impaired airway clearance
What are some risk factors for COPD? (select all)
A-Persistent allergies
B-Occupational dust/chemicals
C-Infection
D-Alcoholism
E-Indoor/outdoor pollution
F-Smoking
B- occupational dust/chemicals
C- infection
E- indoor/outdoor pollution
F- smoking
What are the most common manifestations of COPD? (select all)
A-Altered LOC
B-Chronic cough
C-Lethargy
D-Dyspnea
E-Sputum production
B- chronic cough
D- dyspnea
E- sputum production
What are some pharmacologic management we can give a pt with COPD? (select all)
A-Corticosteroids
B-IV fluids
C-Oxygen therapy
D-Bronchodilators
A-corticosteroids
D-bronchodilators
What:
-Opens narrowed airways
Bronchodilators
What liquifies or loosens thick secretions?
Mucolytic agents
What reduces inflammation in airways and is oral or inhaled?
Corticosteroids
What type of inhaler:
-Disperses fine particles of medication into deeper passages of respiratory tract where absorption occurs?
A-Nebulizers
B-Metered-dose inhalers
C-Dry powder inhaled
A-Nebulizers
What type of inhaler:
-Delivers controlled dose of medication with each compression of the canister?
A-Nebulizers
B-Metered-dose inhalers
C-Dry powder inhaled
B-metered- dose inhalers
What type of inhaler:
-is activated by the patient’s inspiration?
A-Nebulizers
B-Metered-dose inhalers
C-Dry powder inhaled
C-dry powder inhaled
What are some nsg considerations for oxygen therapy? (select all)
A- Auscultate lung sounds every 30 min
B-Monitor RR, LOC, SPO2
C-Use lowest liter flow to correct hypoxia
D-Ensure bed is in high fowlers position
B- monitor RR, LOC, SPO2
C- use lowest liter flow to correct hypoxia
What is the recommended Sp02 range for COPD pt’s?
A-80%-90%
B-86%-94%
C-90%-98%
D-88%-92%
D- 88%-92%
What are some preventative measures to recommend to a pt with COPD? (select all)
A-Acupuncture
B-Increase protein & calories
C-Wear a face mask outdoors
D-Hypnotherapy
E-Avoid excessive salt intake
A- acupuncture
B- increase protein & calories
D- hypnotherapy
What are some nsg interventions for a pt with COPD? (select all)
A-Mintor ABG results & O2
B-Daily weights
C-Assist pt to ambulate Q 2hr
D-Assist with coughing/deep breathing Q2hr
E- Encourage pt to cut back on smoking
A- monitor ABG results & O2
B- daily weights
D- assist with coughing/deep breathing Q2hr
*(incorrect) E- not cut back but cessation of smoking
