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COPD

AB
includes these diseasesemphysema, asthma, bronchiectasis, chronic bronchitisq
emphesema's stimulus comes from thislow PaO2
emphysema destructs thisalveolar elastin
Airways distal to bronchiolesenlarged with air trapping
COPD assessment findingsdyspnea, cough, sputum production, accessory muscle use, barrel chest, wheezes
seen on CXR of COPD patientcongestion and hyperinflation
seen on ABG's of COPD patientrespiratory acidosis
seen on PFT"s of COPD patientincreased residual volume and functional residual capacity and decreased vital capacity
diet of COPD patienthigh protein, vitamin C, calorie and nitrogen
fluid intake of COPD patient3L per day if not contraindicated
nursing interventions for COPD patientsmall frequent meals, pursed lip breathing, daily weights, encourage fluids, etc


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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