Nursing /Simmons NURP 502 Exam 1 COPD
Bronchitis or emphysema? Decreased diaphragmatic excursion
Emphysema
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Key Terms
Term
Definition
Bronchitis or emphysema? Decreased diaphragmatic excursion
Emphysema
Bronchitis or emphysema? May have signs of right heart failure (i.e., cor pulmonale), such as edema and cyanosis
Bronchitis
Bronchitis or emphysema? Pink puffers
Emphysema
Bronchitis or emphysema? May sit in tripod posture
Emphysema
What are the severity and score on the MMRC Dyspnea Scale? Troubled by shortness of breath when hurrying or walking up a slight hill.
• Severity: Mild • Score: 1
What do you look for in the past medical hx of a patient with COPD?
1. Family history of COPD 2. Pattern of symptom development 3. History of exacerbations or hospitalizations for respiratory disorders 4. Comorbidities...
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| Term | Definition |
|---|---|
Bronchitis or emphysema? Decreased diaphragmatic excursion | Emphysema |
Bronchitis or emphysema? May have signs of right heart failure (i.e., cor pulmonale), such as edema and cyanosis | Bronchitis |
Bronchitis or emphysema? Pink puffers | Emphysema |
Bronchitis or emphysema? May sit in tripod posture | Emphysema |
What are the severity and score on the MMRC Dyspnea Scale? Troubled by shortness of breath when hurrying or walking up a slight hill. | • Severity: Mild • Score: 1 |
What do you look for in the past medical hx of a patient with COPD? | 1. Family history of COPD 2. Pattern of symptom development 3. History of exacerbations or hospitalizations for respiratory disorders 4. Comorbidities 5. Asthma 6. Current treatments 7. Impact on person’s life and daily function 8. Social and family supports 9. Person’s willingness to reduce risk factors (smoking) |
Bronchitis or emphysema? Frequent cough and expectoration are typical | Bronchitis |
Bronchitis or emphysema? Blue bloaters | Bronchitis |
Bronchitis or emphysema? Heart sounds may be distant | Emphysema |
What are the severity and score on the MMRC Dyspnea Scale? Not troubled with breathlessness except with strenuous exercise. | • Severity: None • Score: 0 |
Bronchitis or emphysema? Use of accessory muscles is common | Bronchitis |
Bronchitis or emphysema? Patients may be very thin with a barrel chest | Emphysema |
What are the severity and score on the MMRC Dyspnea Scale? Too breathless to leave the house or breathless when dressing or undressing. | • Severity: Very Severe • Score: 4 |
What are 3 hallmark symptoms for clinical presentation of COPD? | 1. Cough 2. Exertional dyspnea 3. Sputum production |
Bronchitis or emphysema? Prolonged expiratory phase with expiratory wheezing | Emphysema |
Bronchitis or emphysema? Low BMI | Emphysema |
Bronchitis or emphysema? On auscultation, chest may be hyperresonant | Emphysema |
What are the severity and score on the MMRC Dyspnea Scale? Stops for breath after walking approximately 100 meters or after a few minutes on the level. | • Severity: Severe • Score: 3 |
Bronchitis or emphysema? Pursed lip breathing and use of accessory muscles | Emphysema |
What are the severity and score on the MMRC Dyspnea Scale? Walks slower than people of the same age due to breathlessness or has to stop for breath when walking at own pace on the level. | • Severity: Moderate • Score: 2 |
Bronchitis or emphysema? Lower peak flow measure with any exercise | Bronchitis |
Bronchitis or emphysema? Course rhonchi and wheezing may be auscultated | Bronchitis |
Bronchitis or emphysema? Patients may be obese | Bronchitis |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Decreased or normal FVC | Obstructive (COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Always decreased FVC | Restrictive (not COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Always decreased FEV1 | Obstructive (COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Decreased or normal FEV1 | Restrictive (not COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Decreased FEV1/FVC ratio | Obstructive (COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Normal FEV1/FVC ratio | Restrictive (not COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Normal or increased TLC | Obstructive (COPD) |
Obstructive pattern (COPD) or restrictive pattern (not COPD)? Decreased TLC | Restrictive (not COPD) |