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Pathophysiology of Copd: Prepared By: Joseph Mari Jess R. Enano

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PATHOPHYSIOLOGY

OF COPD
PREPARED BY: JOSEPH MARI JESS R. ENANO
CHRONIC OBSTRUCTIVE
PULMONARY DISEASE (COPD)
◦SOMETIMES ALSO CALLED CHRONIC
OBSTRUCTIVE LUNG DISEASE (COLD),
IS A GROUP OF COMMON CHRONIC
RESPIRATORY DISORDERS THAT ARE
CHARACTERIZED BY PROGRESSIVE
TISSUE DEGENERATION AND
OBSTRUCTION IN THE AIRWAYS OF THE
LUNGS.
ETIOLOGY
◦ CIGARETTE SMOKING IS IMPLICATED IN MOST
CASES OF COPD. HOWEVER, A GENETIC FACTOR
CONTRIBUTES TO EARLY DEVELOPMENT OF THE
DISEASE IN NON-SMOKERS. EXPOSURE TO OTHER
AIR POLLUTANTS ALSO PREDISPOSES TO COPD
CHANGES, WHICH MAY DEVELOP IN CONJUCTION
WITH OTHER CHRONIC LUNG DISEASES SUCH AS
EMPHYSEMA AND CHRONIC BRONCHITIS.
PATHOPHYSIOLOGY
SCHEMATIC
DIAGRAM
CLINICAL MANIFESTATION
◦ COUGH WITH SPUTUM PRODUCTION
◦ WHEEZING
◦ SHORTNESS OF BREATH
◦ PROLONG EXPIRATION
◦ DECREASE EXERCISE TOLERANCE
◦ CYANOSIS AND PERIPHERAL EDEMA (BLUE
BLOATER)
SIGNS AND SYMPTOMS
Other signs and symptoms of COPD may include:
•Shortness of breath, especially during physical activities
•Wheezing
•Chest tightness
•Having to clear your throat first thing in the morning,
due to excess mucus in your lungs
•A chronic cough that may produce mucus (sputum)
that may be clear, white, yellow or greenish
•Blueness of the lips or fingernail beds (cyanosis)
•Frequent respiratory
•Lack of energyinfections
•Unintended weight loss (in later stages)
•Swelling in ankles, feet or legs
Diagnosis:
◦ COPD is commonly misdiagnosed — former
smokers may sometimes be told they have COPD,
when in reality they may have simple
deconditioning or another less common lung
condition. Likewise, many people who have COPD
may not be diagnosed until the disease is advanced
and interventions are less effective.
◦To diagnose your condition, your doctor will
review your signs and symptoms, discuss your
family and medical history, and discuss any
exposure you've had to lung irritants — especially
cigarette smoke. Your doctor may order several
tests to diagnose your condition.
DIAGNOSTIC TEST
◦ CHEST X-RAY
◦ PULMONARY FUNCTION TEST
◦ SPIROMETRY
TREATMENT
◦ AVOIDANCE OF RESPIRATORY IRRITANTS AND
SOURCES OF RESPIRATORY INFECTIONS
◦ USE OF EXPECTORANTS BRONCHODILATORS AND
APPROPRIATE CHEST THERAPY
◦ IMMUNIZATION AGAINST INFLUENZA AND
PNEUMONIA
PROGNOSIS
◦Approximately 12 million people in the United States
have a diagnosis of COPD. However, it’s estimated
that 24 million people may have the disease without
knowing it. At this time, COPD is the third leading
cause of death. While there’s no cure for COPD,
treatment options are available.
Nursing Diagnosis:
◦ Impaired Gas Exchange related to decreased lung
compliance and altered level of consciousness as
evidence by dyspnea on exertion, decreased oxygen
content, decreased oxygen saturation, and increased
PCO2.
NURSING INTERVENTION
◦ ASSIST PATIENT TO ASSUME POSITION OF
COMFORT
◦ KEEP ENVIRONMENTAL POLLUTION TO A
MINIMUM
◦ ENCOURAGE OR ASSIST PATIENT WITH PURSUED
LIP BREATHING EXERCISE
◦ ADMINISTER MEDICATION AS PRESCRIBED
◦ PROVIDE SUPPLEMENTAL HUMIDIFICATION
THANK YOU!

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