57 year old Female admitted to the hospital with complaints complaints of…
Pathophysiology of COPD:
Chronic Bronchitis is characterized by excessive bronchial mucus production causing severe cough with expectoration and difficulty breathing
Emphysema is characterized by a loss of elastic property in the alveoli leaving them permanently inflated. This decreases the surface area for gas exchange leading to airflow limitation making it difficult to breathe
Nursing Diagnosis 1 Ineffective Airway Clearance r/t/ retained bronchial secretions AEB patient complaining of shortness of breath, diminished breath sounds and persistent cough.
Nursing Interventions monitor patients ABGs, elevate the head of bed to ensure patient comfort, monitor respirations and auscultate breath sounds.
Goal during shift patient will maintain airway patency and clear breath sounds.
Nursing Diagnosis 2 Impaired Gas Exchange r/t COPD AEB difficulty breathing, hypercapnia, low tolerance for activity.
Nursing Interventions monitor patients level of consciousness, monitor vital signs, monitor O2sat and provide supplemental oxygen per physicians orders, assess arterial blood gasses.
Goal during shift patient will be free of symptoms of respiratory distress.