COPD part 2 Flashcards
What’s are the most common used of anticholinergic inhaler (2)?
Ipratropium (Atrovent)
Trutropium (Spiriva)
What is the non pharmacy therapy for COPD? (4)
Stop smoking
Avoid exposure
Covid & Flu & pneumonia vaccine
Pulmonary rehab
- PTOT ( vest that vibrates that break that mucus )
Can you get surgery for COPD? But is it really recommend for them or more so are they good candidates? And why?
Yes
But they aren’t good candidates due to the fact that they have other underlying problems
What are the 4 type of surgery that go into surgical therapy for COPD?
LVRS ( lung volume reduction surgery )
bronchoscopic lung volume reduction surgery
Bullectomy
Lung transplant
How does LVRS ( lung volume reduction surgery ) work?
Removed diseased tissue so healthy tissue works better
What is bronchoscopic lung volume reduction surgery?
Place 1 way valve in airways to diseased lung leads to collapse
What is bullectomy?
Removal of one more Bullae to decrease work of breathing
What is lung transplant?
Removing and replacing one or both lung
COPD is not a curable disease, it’s a progressive disease for your lungs, though if you’re young with COPD you may be what?
Eligible for lung transplant
Can we give oxygen to COPD ? Why? And what does it treat?
And we want to make sure there room is what?
In order to what?^ (4)
Yes
In order to help hypoxemia
Humidified
To avoid nosebleeds & inflammation
Keeping O2 saturation above ___? During rest sleep and exertion or
PaO2 > ____?
90
60
What are the complications of oxygen therapy? (4)
Combustion - if they smoke
Infection - humidity supports bacterial growth
CO2 narcosis - no longer stimulus to breathe
O2 Toxicity - prolonged high O2 - inflammation
These COPD patients live at a low what?
These patients will come in for a broken leg and they are breathing just fine, their pulse ox says 88% but they live at that level. So it’s important to say what? And if they are breathing fine, what do we do?
They live at a low oxygen
We can keep them at 88%
Oxygen is a prescribed what??
Medication !!
We need a doctor order
Nasal cannula can put you at risk of infection and you can get what?
So we do what with the equipment?
Pneumonia
Dispose equipment
What are some breathing techniques we can teach a patient? (4)
Pursed lip breathing
Diaphragmatic breathing
Airway clearance techniques
Effective cough or huff coughing
What is pursed lip breathing?
Like breathing into a paper bag
Prolonges expiration to reduce bronchial collapse and air trapping