H&I 2 test 3
What is COPD?
Emphasyma & Bronchitis
limit air exchange
What are some signs and symptoms of COPD?
chronic cough, SOB,
lots of mucus secretions lots of speutum
impaired exiatory air flow cstic fibrosi
can cause sleep apnea
what position can COPD pts not get in
lay down flat
What does chronic bronchitis do?
puts strain on heart
> 50 PaO
L ventricule enlarges
what can develope from Chronic Bronchitus?
what happens to the sides of the heart in heart failure?
When one side fails the other will eventually fail
What is a 2ndary problem of COPD
brochial asthma it is reverable
what groups is brochial asthma usually seen in
the very old and the very young
how many cases of bronchospasms can be imparative in kids?
what is the leading cause of Pulmonary emphysema?
what happens in Pulmonary emphysema?
impaired gas exchange
extention of aveoli
What happens to the lungs in pulmonary emphysema?
from scar tissue replacing lung tissue
what are the 2 main types of pulmonary emphysema
what type of pulmonary emphysema is the most common?
what does centribular pulmonary emphysema affect?
central part of resp globulal
up red blood cells to compensate
what population does centribular pulmonary emphysema usually occur in?
What happens in pan lobular pulmonary emphysema?
generalized destruction of resp___ in lower resp tract
what is pan lobular pulmonary emphysema caused by?
what enzyme is missing in pan lobular pulmonary emphysema?
alpha tripson enzyme
what population is pan lobular pulmonary emphysema usually seen in?
what does alpha tripson enzyme do?
protects the lungs
what happens if you don't have tripson enzyme?
get lung destruction
What are some S/S of emphysema?
coughing, R sidedheart failure
dyspnea, pulmonary edema
destended neck veins
rigid rib cage
exporation takes longer
What is usually the 1st symptom of emphesyma
what do people do as their rib cages get rigid with emphysema?
use accessory muscles to breath
what causes pulmonary edema in emphesyma?
R ventricle cant pump blood efficiently
what does liver congestion from emphysema cause
painful to palpitate liver
what are some S/S of advanced emphysema
sort of jerky speach
neck veins distain with expiration
lower memory & more confusion
happens if emphysema is not treated as it progresses?
fluid around heart -hear muffled
over amount of air left in lungs -> residual volume
what is CO
too much CO
what is pulmonary function test for?
what do you look at in pulmonary function test?
CBC- up WBC
sputum -positive cultures
what happens as emphysema gets worse?
body tries to compensate to prevent acidosis
hyerpathnia---too much CO
what are some goals in Emphysema?
low disease progression
what are some nursing interventions of emphysema
assess respiratory status
monitor blood drug levels--- check theraputic levels
nursing care plans important
look for signs of infection
lots of teaching and evals
observe for drug side effects
what type of meals should pt with emphysema get?
small high quality frequent meals
3-4x / day
how do people get cystic fibrosis?
inhearited from both parents
1 in 3 people are carriers
what are the chances of getting cystic fibrosis?
2 carriers-- 25% chance of having kids w/ disorder
25% chance of baby born normal no carrier
50% chance of baby born carrier
what causes cystic fibrosis?
falty transport of sodium & chloride
affects enternal & outer surface
H&I 2 test 3