Chronic Obstructive Pulmonary Disease ( Copd )

1507 Words Mar 14th, 2015 7 Pages
R.W. appears with progressive difficulty getting his breath while doing simple tasks, and also having difficulty doing any manual work, complains of a cough, fatigue, and weight loss, and has been treated for three respiratory infections a year for the past 3 years. On physical examination, CNP notice clubbing of his fingers, use accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs, and also pulmonary function studies show an FEV1 of 58%. These all symptoms and history represented here most strongly indicate the probability of chronic obstructive pulmonary disease (COPD). COPD is a respiratory disease categorized by chronic airway inflammation, a decrease in lung function over time, and gradual damage in quality of life (Booker, 2014).
Pharmacotherapeutics Treatment Goals for R. W.
The aims of COPD treatment are;
• To avoid further relapse in lung function, and to relieve symptoms
• To increase management of daily performances and quality of life.
• The treatment plans include;
• Quitting cigarette smoking,
• Taking medications to dilate airways bronchodilators and decrease airway inflammation
• Vaccinating against flu influenza and pneumonia
• Regular oxygen supplementation, and pulmonary rehabilitation.
(Choi, Chung, & Han, 2014).
Diagnostic Studies
It is applicable to obtain arterial blood gases (ABG) or pulse oximetry for patient experiencing a severe exacerbation (Booker, 2014). Chest X-ray and ECG…
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