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Chronic Obstructive Pulmonary Disease (COPD) (Diagnoses (X-ray, what are…
Chronic Obstructive Pulmonary Disease (COPD)
Implementations
Medications: Albuterol and corticosteroids
Nicotine replacement: Nicoderm, patches
Nicotine withdrawal medications: Zyban and Chantix
Medications Zyban and Chantix that help reduce nicotine withdrawal
Smoking cessation referral
pick a quit day
find a support group
pick a quit day
800-QUIT-NOW
Patient can wear oxygen to keep saturation at 95%
Diet and exercise
Eat fruits and veggies
Drink a gallon of water a day
Nicotine replacement
Planning
Improved O2 levels in two months
Skin integrity will look healthier in one month
Pain level of 2 in two months
Quite smoking within 3 to 6 months
will be done with smoking cessation appointments within one month
Weight will be down by 20 pounds in three months
Assessment
Wheezing
shortness of breath
Chest tightness
Mucus, coughing up mucus in the morning?
How often is the patient coughing up mucus?
History
Is the patient still smoking? How much per day?
Skin integtrity
Diagnoses
X-ray, what are the findings?
Emphesema?
Is the patient sick now? Cold? Flu?
How long has the patient been smoking?
Skin assessment. What is the skin turgor?
Lung assessment
Nails? Are they clubbed? Any sign of hypoxia? (lack of oxygen reaching tissues)
Evaluations
Vital Signs before and after medication use
Establish a baseline
Vital signs
Heart Rate less between 60 and 100, can be lower if working out regularly
Respiratory rate between 12 and 20 per minute
How old is the patient?
Is the patient experiencing any pain?
Pain Level scale between 1 and 10
BMI between 18.5 and 25