Invasive Ventilation Essay

There are no cure for this disease. However, there are different treatment to prevent further deterioration of the lungs function in order to improve the quality of life of the patient by increasing capacity of their physical activity. One of the main severe complication a patient with COPD can develop is exacerbation. Increased breathlessness, increased sputum volume and purulent sputum are the signs and symptoms of exacerbation. Early detection of the signs of exacerbation can help keep the condition of the patient from worsening. The treatments of COPD mainly aims at controlling the symptoms of exacerbation such as taking inhalers. Patients who are over the age of 35 and ex-smokers with chronic cough and bronchitis are recommended to have spirometer (NICE, 2004). This is because it is possible to delay or prevent patients from developing severe case of COPD is identified before they lose their lungs functions. Oxygen therapy is another treatment for COPD as the patients with this condition has high

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).

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

BB, 86, presented to EMCH with pneumonia and a history of COPD and heart failure. The chief complaint for admission was shortness of breath and chest pain. She was put on many medications to help her conditions. A patient with COPD has weakened lungs already so getting control over her pneumonia was that much more important. General overall health is key to preventing infections in COPD patients (Faris, 2012).

COPD, however, is an adult disease whose leading cause is long-term cigarette smoking. Airway inflammation with lymphocytes, neutrophils, and macrophages is common in COPD (2), and remodeling of airways commonly occurs. While airway obstruction in asthma is usually reversible, there can be a fixed obstructive component, and in COPD, where there is usually a significant fixed obstructive component, there can be partial reversibility in airway obstruction (2). There are patients who present with an overlap syndrome with mixed features of COPD/asthma (2). COPD is also potentially preventable, if one avoids cigarette smoking, which often times is the primary cause. The most common recognized forms of COPD are chronic bronchitis, seen as bouts of coughing and severe

His lung sounds are diminished bilaterally. Pulse oximetry reading is 90%. He is receiving oxygen at 2 liters per nasal cannula. He complains of shortness of breath with exertion.

Causes of COPD are, but are not limited to, tobacco smoke, occupational working exposure, outdoor and indoor pollutants, genetic factors and early life environmental factors. This disease has become the third leading cause of death in the United States of America. The only proven way to slow the progression is to QUIT smoking. Some studies have shown that giving a bronchodilator has reversed some lung function which benefits the patient. Symptoms of COPD include, but are not limited to, dyspnea upon exertion, chronic cough with or without phlegm, fatigue and weight loss. Some common characteristics of COPD are exacerbations and episodes of acute worsening. Exacerbations are commonly caused by viral and/or bacterial infections and pollution. Multimodal treatments are used and include

COPD, or Chronic Obstructive Pulmonary Disease, is one of the most common lung diseases. Thousands of people are diagnosed every year, and it recently moved up to the 3rd leading cause of death in the U.S., behind heart disease and cancer. This paper will discuss disease pathology, the most common and recently discovered diagnostic tests, as well as treatment options. It will also address end of life care.

We conducted a 12 month randomized prospective case-control study on patients diagnosed with acute COPD exacerbation from December 2016 to November 2017. The case cohort was administered a Discharge Checklist at the time of hospital discharge while the patients in the control group underwent usual discharge care. The Discharge Checklist included identification of factors such as non-compliance, inappropriate oxygen use, inappropriate inhaler technique and lack of follow up. In addition, we measured the Peak Inspiratory Flow (PIF) and adjusted the home inhalers based on the PIF. The electronic health record was used to look for evidence of readmissions. The primary outcome measured was the 30-day readmission rates of the cases compared to

is stated to have a history of prolonged smoking, a leading cause of B COPD. R.S. has a PaO2 of 50 mm Hg and PaCO2 of 60 mm Hg, showing elevated PaCO2, and decreased levels of PaO2 that are consistent with that of B COPD. Patient is taking inhaled β2 agonists and theophylline which are treatments of COPD. Since R.S.’s PaO2 is less than 50 mm Hg, it is recommended that R.S. be treated with low-dose oxygen therapy. Since PaO2 is decreased in R.S., excess strain on the heart would occur in order to move oxygen throughout the body which could go along with coronary artery disease and peripheral arterial vascular disease as these are diseases of the arteries and arteries pump oxygenated blood away from the heart. Smoking is also a possible involvement of coronary artery disease and peripheral arterial vascular disease. Coronary artery disease and peripheral arterial vascular disease are usually caused by atherosclerosis of coronary arteries unrelated to COPD. Additionally, patients with B COPD often exhibit bacterial colonization that causes pneumonia. Since R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia, patient is as risk of

Obstructions in the airway can cause the patient to experience hard time breathing. Then, patient will experience

Synthesis of Literature The current literature regarding our PICO question and relevant search terms provides rationale for why guideline-based COPD management is beneficial for the healthcare system and affected population. Evidence-based guidelines, studies concerning the best steps to confirm a COPD diagnosis, spirometry discrepancies in primary care, and the effects of less-than-ideal COPD care for the patient as well as the healthcare system were covered in the literature matrix table. The following synthesis offers discussion for the main concepts covered by the literature, as well as pointing out where evidence gaps exist.

The role of nurses is usually considered to be that of taking care of sick patients and assisting those patients regain their health. However, it should also be realized that nurses strive to assist patients attain maximum levels of health through patient education. Through education directed to patients, the nurse can help patients develop healthy lifestyles, teach patients techniques for improving specific health needs, and also educate the patients as to when to seek medical attention for their health issues. Those with chronic illnesses such as chronic obstructive pulmonary disease (COPD) can benefit from teaching. Patient education provided by nurses should be easily understandable, and it should motivate the patient to follow a care plan.

breathing because the lining of the airways become inflamed, and may produce mucous and also

COPD is a disease that makes it difficult for a person to breath. Symptoms include wheezing, fatigue, coughing, and shortness of breath. COPD is caused mostly by smoking. One should quit smoking to reduce their chances of getting it and if they already have it, to reduce the severity of symptoms. The two main forms of COPD are emphysema and chronic bronchitis. A variety of tests may be used in the diagnosis of COPD such as Spirometry and X-rays. Unfortunately, COPD has no known cure but treatment may include bronchodilators, oral steroids, long-term antibiotics, anti-inflammatory drugs, and even oxygen therapy, IV steroids, or use of a Bi-PAP.