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UNRS 212P | ihuman Patient: Ben Bundy Name of Disease: COPD Pathophysiology, Exams of Nursing

Azusa Pacific University (APU)Nursing

Patient: Ben Bundy Name of Disease: COPD Pathophysiology iHuman Ben Bundy Care Map.

Typology: Exams

2024/2025

Available from 05/15/2025

dennis-mburu
dennis-mburu 🇺🇸

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Patient: Ben Bundy
Name of Disease: COPD
Pathophysiology
COPD is characterized by persistent airflow limitation, usually progressive and associated with
chronic inflammation in the airways and lungs, which could be caused by toxic particles or
gases.
Signs and Symptoms
Fatigue, shortness of breath, chest tightness, chronic cough, or infections, febrile, leukocytosis,
wheezing at inspiration and expiration, green sputum, cyanosis
Risk of Developing
Pneumonia, sepsis, further complications of COPD, hypoxia, heart failure, lung cancer
Diagnostics
Chest X-Ray
ECG
Sputum culture and sensitivity
Blood cultures
Urinalysis
CBC
CMP
Medications
pf3

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Patient: Ben Bundy Name of Disease: COPD Pathophysiology COPD is characterized by persistent airflow limitation, usually progressive and associated with chronic inflammation in the airways and lungs, which could be caused by toxic particles or gases. Signs and Symptoms Fatigue, shortness of breath, chest tightness, chronic cough, or infections, febrile, leukocytosis, wheezing at inspiration and expiration, green sputum, cyanosis Risk of Developing Pneumonia, sepsis, further complications of COPD, hypoxia, heart failure, lung cancer Diagnostics Chest X-Ray ECG Sputum culture and sensitivity Blood cultures Urinalysis CBC CMP Medications

  • acetaminophen (Tylenol) albuterol (Proventil MDI) fluticasone and salmeterol (Advair diskus) cefuroxime (ceftin) flumazenil (romazicon) lisinopril (zestril) lorazepam (Ativan) nicotine patch (nicodern CQ) methylprednisolone (medrol) Nursing Diagnosis 1: Impaired gas exchange as evidence by decreased o2 saturation, difficulty breathing, cyanosis of the lips and barrel chest. 2: Ineffective breathing pattern related to inflammation and increased mucus production as evidence by wheezing. 3: Ineffective health management is related to difficulty managing complex treatment as evidenced by ineffective choices in activities of daily living for meeting health goals. Nursing interventions 1 1: Increase oxygen levels by administering oxygen NC 2lpm and titrate until o2 levels increase between 89-92 % over the next 2 hours. 2: Maintain HOB elevated in semi-fowlers or high Fowlers to maximize optimal lung expansion monitor SpO2 over the next hour to see changes. 3: Practice purse lip breathing and see if it changes the patient's O2 stat over the next 2 hours. 2 1: Encourage coughing and deep breathing, educate on use on incentive spirometer to increase the ease of breathing over the next 6 hours. 2: Administer bronchodilators as per order for shortness of breath/wheezing to allow patient an ease of breathing over the next 6 hours monitor for changes. 3: Observe for cyanosis of the skin, nails, and lips every four hours until pt is discharged. The patient will report a decrease in wheezing by demonstrating effective coughing techniques to clear secretions at least twice per nursing shift. 3