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CAGAYAN STATE UNIVERSITY 10
NCM 112
b. Chronic Obstructive Pulmonary Disease evaluation of nursing
(COPD) care for clients with Case Details: On physical
i.Emphysema altered respiratory examination, DG appears
ii.Chronic Bronchitis function through the cachectic. He exhibits a barrel
c. Bronchiectasis use of different chest and uses accessory
c. Cystic Fibrosis respiratory modalities muscles to breathe. Auscultation
5. Pleural Effusion reveals diminished breath
6. Atelectasis D. Provide suitable sounds and prolonged
7. Pneumonia health teachings expiration. His initial oxygen
8. Acute Respiratory Distress Syndrome needed by a client with saturation is 89% on room air.
9. Pulmonary Embolism actual or potential He reports a feeling of tightness
10. Chest Trauma respiratory problem in his chest and has been
E. Implementation of Common Respiratory avoiding physical activity
Modalities because it exacerbates his
1. Oxygen Therapy breathlessness and fatigue.
2. Tracheobronchial Suctioning
3. Chest Physiotherapy Questions for Discussion:
a. Percussion
b. Vibration 1. Pathophysiology of
c. Postural Drainage Emphysema:
4. Incentive Spirometry o How does emphysema
5. Thoracostomy affect lung function?
6. Review of Pharmacotherapy Discuss the changes in
lung anatomy and
physiology that occur in
emphysema and how
these changes lead to
the symptoms DG is
experiencing.
2. Management Strategies:
o What are the key
management strategies
for a patient with
emphysema like DG?
Consider both
F-ODI-2056
Revision No. 07 January 31, 2024