Podcast
Questions and Answers
What should be done first when working with a new patient in the pulmonary care unit?
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?
During an initial assessment of a COPD patient, which of the following should be evaluated?
How would you interpret the arterial blood gas?
How would you interpret the arterial blood gas?
What oxygen therapy would you suggest to assist the patient at this time?
What oxygen therapy would you suggest to assist the patient at this time?
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Which additional therapy would benefit the patient?
Which additional therapy would benefit the patient?
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What should you evaluate four hours after therapy was initiated?
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?
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?
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.
