Nursing care - emphysema

Ineffective airway due to emphysema
The loss of tissue increases risk of airway . Air is trapped (increased residual vol.)
Assess resp status every - hours or as
Depending on severity
Assess ABG results & SpO2 readings
Notify medical team of values/ change in status

Interventions for ineffective airway clearance:
Place in or the position to facilitate & lung (assists in reducing the )
Administer O2 as ordered
Administer medications as ordered
Provide referral to therapist
Monitor patient’s fluid intake to reduce likelihood of airway
Provide between activities
Teach breathing techniques to control breathing (i.e lip or abdominal breathing)

Inadequate nutrition
In advanced COPD - fatigue due to caused by any effort can lead to a lack of adequate intake. The increased demands of increased WOB leading to an increase in req’d energy .
Assess nutritional status - , history & skinfold if applicable
Document input and liaise with re: higher energy diet
Monitor lab values including serum and electrolytes (the individual may not be getting enough protein)
Provide frequent, meals with between-meal supps
Position patient appropriately for meals
Assist to choose meals; encourage family members to bring food from home if allowed
Bedside snacks
Provide mouth-care to increase
If oral intake is inadequate discuss or parenteral feeding with medical staff

Compromised coping
Depending on the prognosis and individuals involved
Assess interactions between individuals and family
Assess the of the illness on the family
Encourage expression of between family members
Initiate care conference involving the person, family and team members
Consider referral to if appropriate

Patient education:

There may be a potential conflict if the person is disinclined to quit smoking even with a diagnosis of emphysema
should be provided in and verbal form re: associated with continuing to smoke and from quitting
These should be provided to the also
Educate family members that smoke about the dangers of
Demonstrate for decisions made in this area regardless