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COPD

AB
Common symptomscough, dyspnea, sputum production, clubbing, use of accessory muscles, barrel chest, wheezes, crackles, orthopnea
CXR findingscongestion and hyperinflation
ABG findingsRespiratory acidosis
PFT resultsincerased residual volume, increased functional residual capacity, decreased vital capacity
Diethigh protein, high vitamin C, high calorie, high nitrogen
Fluid intakeAim for 3 liters a day if not contraindicated
Meds for prevention of complicationsAntibiotics
Meds to open airwaysBronchodilators
meds to reduce inflammationCorticosteroids
Reason for small frequent mealsTo get in the calories without wearing out with eating
Reason for increased fluidsTo thin secretions
Reason for Chest PT and T, C, and DBTo mobilize secretions
Reason for pursed lip breathingTo promote CO2 release
Reason for daily weightsTo track fluid retention


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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