Questions and Answers
What should be done first when working with a new patient in the pulmonary care unit?
During an initial assessment of a COPD patient, which of the following should be evaluated?
How would you interpret the arterial blood gas?
What oxygen therapy would you suggest to assist the patient at this time?
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Which additional therapy would benefit the patient?
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What should you evaluate four hours after therapy was initiated?
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What therapy should be added to the patient's care plan?
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How should you respond to a patient complaining about being treated by a student?
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Study Notes
Patient Overview
- Inowana Newby, a 47-year-old female, diagnosed with COPD two years prior.
- Admitted to the pulmonary care unit due to an episode of extreme shortness of breath.
Initial Actions
- First step should be to review the medical chart to gather patient history and treatment details.
- Assessment should include evaluating general appearance, vital signs, and chest auscultation.
Arterial Blood Gas Interpretation
- The interpretation of the arterial blood gas shows compensated respiratory acidosis with moderate hypoxemia.
Oxygen Therapy Recommendations
- Recommend 28% oxygen therapy via heated aerosol mask to assist the patient.
Additional Therapies
- Suggest bronchial hygiene therapy as a beneficial addition to the patient's treatment plan.
Patient Evaluation After Therapy
- After four hours post-therapy, evaluate:
- General appearance
- Blood pressure
- Color
- Extremities
- Chest movement
- Auscultation
- Vital signs
- 12 Lead ECG
- Arterial blood gas
Suggested Care Plan Modifications
- Recommend adding intermittent positive pressure breathing to the care plan for enhanced respiratory support.
Patient Interaction
- If the patient expresses discomfort with being treated by a student, the correct response is to contact your instructor for guidance and support.
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Description
This quiz assesses your knowledge on managing a COPD patient, focusing on initial actions, arterial blood gas interpretation, and oxygen therapy recommendations. It includes patient evaluation techniques post-therapy to ensure effective care.
