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A.B age 64 - Coggle Diagram
A.B age 64
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nursing interventions
encourage coughing for sputum clearance, possible suctioning if unable to pass secretions on his own
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provide a calm, quiet environment to ease anxiety, provide adequate education on disease process to ease anxiety
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complications
obstruction of airway related to inflammation and history of COPD, monitor o2 sat, note the use of accessory muscle when breathing
hypoxemia- assess peripheral pulses, cap refill, monitor for changes in level of consciousness, check o2 sat
pulmonary edema- assess lung sounds for crackles, assess breathing difficulty
hypoxia- assess vital signs, tachycardia, dysrhythmias
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home medications
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Ipratropium 500mcg inhaled, given with albuterol
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nursing diagnosis
Impaired gas exchange R/T exacerbation of COPD due to infections A.E.B increased respiratory rate, 88% oxygen saturation, productive cough, and an elevated WBC (12.4)