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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
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