What can a nurse do for a patient with COPD?
In COPD, nurses have been involved in delivering non-pharmacological interventions aimed at reducing symptoms and improving the quality of life of patients — such as smoking cessation, increased physical activity, and pulmonary rehabilitation.
What should a nurse consider when giving oxygen to a patient with COPD?
Assess the need for oxygen therapy in people with any of the following:
- Very severe airflow obstruction – forced expiratory volume in one second (FEV1) less than 30% predicted.
- Cyanosis.
- Polycythaemia.
- Peripheral oedema.
- Raised jugular venous pressure.
- Oxygen saturation 92% or below when breathing air.
What assessments should be performed on a patient with a COPD exacerbation?
Tests may include:
- Lung (pulmonary) function tests. These tests measure the amount of air you can inhale and exhale, and whether your lungs deliver enough oxygen to your blood.
- Chest X-ray. A chest X-ray can show emphysema, one of the main causes of COPD .
- CT scan.
- Arterial blood gas analysis.
- Laboratory tests.
How can I improve my COPD exacerbation?
The following tips may help prevent or reduce COPD exacerbations:
- stopping smoking and avoiding secondhand smoke.
- getting an annual flu shot.
- avoiding COPD triggers, such as air pollution, pollen, dust, and fumes.
- taking all medications as the doctor directs.
- getting plenty of sleep to keep the immune system strong.
What questions should I ask a patient with COPD?
In taking your medical history, your doctor will ask questions about: Shortness of breath….Exam Overview
- How often and when do you cough?
- How long have you been coughing? Is it getting worse?
- Do you cough up mucus (sputum)? What color is it?
- Have you ever coughed up blood?