Physical Examination and Nursing Assessment for COPD

Physical Examination and Nursing Assessment for COPD - These days we want to discuss the article with the title health Physical Examination and Nursing Assessment for COPD we hope you get what you're looking for. We are here trying to make the best possible to provide information on this blog.

Physical Examination and Nursing Assessment for COPD

The assessment includes information about the symptoms and manifestations of the disease earlier. Here are some guidelines to get the data questions health history of the disease process:

1. How long has the patient had difficulty breathing?
2. Does activity increase dyspnea?
3. How much limits the patient's activity tolerance?
4. When patients complain most tired and short of breath?
5. Is eating and sleeping habits affected?
6. History of smoking?
7. The drugs used every day?
8. The drugs used in the acute attack?
9. What is known about the patient's condition and disease?

Additional data were collected through observation and examination as follows:

1. Patient's pulse rate and breathing?
2. Do the same breathing, without effort?
3. Is there a contraction of the abdominal muscles during inspiration?
4. Is there any use of accessory respiratory muscles during breathing?
5. Barrel chest?
6. Does it seem cyanosis?
7. Is there a cough?
8. Are there peripheral edema?
9. Is the neck veins appear enlarged?
10. What color, amount and consistency of sputum of patients?
11. What is the status of patients sensorium?
12. Is there an increase in stupor? Anxiety?
13. Results of diagnostic tests such as:

Chest X-Ray:
May indicate pulmonary hiperinflation, flattened diaphragm, increased retrosternal air space, decrease vascular signs / bullae (emphysema), an increase in the form of bronchovaskular (bronchitis), normally found during periods of remission (asthma)

Examination of Lung Function: Guide to determine the cause of dyspnea, determine whether the function abnormalities due to obstruction or restriction, to estimate the level of dysfunction and to evaluate the effects of therapy, eg bronchodilator.

TLC: Increase in severe bronchitis and usually on asthma, decreased in emphysema.

Capacity Inspiration: Decrease in emphysema

FEV1/FVC: Ratio of pressure expiratory volume (FEV) against the pressure of the vital capacity (FVC) decreased in bronchitis and asthma.

ABGs: Indicates a chronic disease process, often decreased PaO2 and PaCO2 normal or increased (chronic bronchitis and emphysema) but often decreased in asthma, the normal pH or acidosis, respiratory alkalosis secondary to hyperventilation light (moderate emphysema or asthma).

Bronchogram: Can show dilatation of the bronchi during inspiration, kollaps bronchial expiratory pressure (emphysema), enlargement of mucous glands (bronchitis)

Complete Blood: Increased hemoglobin (severe emphysema), an increase in eosinophils (asthma).

Blood Chemistry: Alpha 1-antitrypsin is made to the possibility of less on primary emphysema.

Sputum culture: To determine the presence of infection, identify the pathogen, cytologic examination to determine malignancy or allergic disease.

ECG: right axis deviation, tall P wave (severe asthma), atrial dysrhythmias (bronchitis), gel. P in Leads II, III, AVF length, height (bronchitis, emphysema), QRS axis vertical (emphysema)

Exercise ECG, Stress Test: Helping assess the level of respiratory dysfunction, evaluate the effectiveness of bronchodilator drugs, plan / program evaluation ..

Palpation:

1. Reduction in the development of breast palpation?
2. Is there decreased tactile fremitus?

Percussion:

1. Is there hiperesonansi on percussion?
2. The diaphragm moves just a little bit?

Auscultation:

1. Is there a loud wheezing sound?
2. Is there ronkhi sound?
3. Nomal or decreased vocal fremitus?

Thank you for visiting our blog. In the future we continue to seek better in presenting good information. Don't forget to share the article Physical Examination and Nursing Assessment for COPD this in social media.

Frequently searched keywords:

Nanda Nursing Diagnosis, nanda nursing diagnosis pdf, nanda nursing diagnosis for renal failure, nanda nursing diagnosis for diabetes mellitus, nanda nursing diagnosis for respiratory problems, nanda nursing diagnosis book+free download, nanda nursing diagnosis for respiratory failure, nanda nursing diagnosis list 2015 pdf, nanda nursing diagnosis for atrial septal defect, nanda nursing diagnosis 2015, nanda nursing diagnosis 2015 pdf, nanda nursing diagnosis 2015 to 2017, nanda nursing diagnosis free download, nanda nursing diagnosis list 2015 free download, nanda nursing diagnosis impaired gas exchange, nanda nursing diagnosis ppt, nanda nursing diagnosis classification, nanda nursing diagnosis care plans examples, nanda nursing diagnosis for pericardial effusion, nanda nursing diagnosis, nanda nursing diagnosis list, nanda nursing diagnosis anxiety, nanda nursing diagnosis acute pain, nanda nursing diagnosis activity intolerance, nanda nursing diagnosis apa reference, nanda nursing diagnosis and interventions, nanda nursing diagnosis anemia, nanda nursing diagnosis acute pain related to, nanda nursing diagnosis altered mental status, nanda nursing diagnosis app, nanda nursing diagnosis acute pain related to surgery, nanda nursing diagnosis asthma, nanda nursing diagnosis and care plans, nanda nursing diagnosis and interventions for copd, nanda nursing diagnosis alcohol withdrawal, nanda nursing diagnosis and intervention pdf, nanda nursing diagnosis alzheimer's disease, nanda nursing diagnosis acute kidney injury, nanda nursing diagnosis and outcomes, nanda nursing diagnosis amazon, nanda nursing diagnosis apk, nanda nursing diagnosis book, nanda nursing diagnosis bleeding, nanda nursing diagnosis book pdf, nanda nursing diagnosis bipolar disorder, nanda nursing diagnosis breast cancer, nanda nursing diagnosis bowel obstruction, nanda nursing diagnosis borderline personality disorder, nanda nursing diagnosis burns, nanda nursing diagnosis bronchiolitis, nanda nursing diagnosis bronchitis, nanda nursing diagnosis body image disturbed, nanda nursing diagnosis bph, nanda nursing diagnosis back pain, nanda nursing diagnosis-blood transfusion, nanda nursing diagnosis ineffective breathing pattern, nanda nursing diagnosis traumatic brain injury, nursing diagnosis by nanda, nanda nursing care plan book, nanda nursing diagnosis copd, nanda nursing diagnosis chf, nanda nursing diagnosis cellulitis, nanda nursing diagnosis congestive heart failure, nanda nursing diagnosis cva, nanda nursing diagnosis.com, nanda nursing diagnosis community, nanda nursing care plan copd, www.nanda nursing care plan.com, nanda nursing diagnosis diabetes, nanda nursing diagnosis definition, nanda nursing diagnosis decreased cardiac output, nanda nursing diagnosis dementia, nanda nursing diagnosis diabetes mellitus type 2, nanda nursing diagnosis definition and classification, nanda nursing diagnosis depression, nanda nursing diagnosis disturbed thought processes, nanda nursing diagnosis diarrhea, nanda nursing diagnosis deficient knowledge, nanda nursing diagnosis dehydration, nanda nursing diagnosis deficient fluid volume, nanda nursing diagnosis defining characteristics, nanda nursing diagnosis download, nanda nursing diagnosis diabetes mellitus, nanda nursing diagnosis diabetic ketoacidosis, nanda nursing diagnosis dvt, nanda nursing diagnosis diverticulitis, nanda nursing diagnosis dengue fever, nanda nursing diagnosis examples, nanda nursing diagnosis electrolyte imbalance, nanda nursing diagnosis excess fluid volume, nanda nursing diagnosis epilepsy, nanda nursing diagnosis ebook free download, nanda nursing diagnosis edema, nanda nursing diagnosis elsevier, nanda nursing diagnosis end stage renal disease, nanda nursing diagnosis elimination, nanda nursing diagnosis emphysema, nanda nursing diagnosis endocarditis, nanda nursing diagnosis ectopic pregnancy, nanda nursing diagnosis encephalopathy, nanda nursing diagnosis pleural effusion, nanda nursing diagnosis for urinary elimination, nanda nursing care plan examples, nanda nursing wellness diagnosis examples, nanda nursing diagnosis for elderly, nanda nursing diagnosis for epistaxis, nanda nursing diagnosis for hypertension, nanda nursing diagnosis for pneumonia, nanda nursing diagnosis for pain, nanda nursing diagnosis for copd, nanda nursing diagnosis for anemia, nanda nursing diagnosis for anxiety, nanda nursing diagnosis for chf, nanda nursing diagnosis for asthma, nanda nursing diagnosis fever, nanda nursing diagnosis for psychosocial, nanda nursing diagnosis for 2014, nanda nursing diagnosis for 2015, nanda nursing diagnosis for, nanda nursing diagnosis grieving, nanda nursing diagnosis gi bleed, nanda nursing diagnosis generalized anxiety disorder, nanda nursing diagnosis gastrointestinal, nanda nursing diagnosis gastritis, nanda nursing diagnosis gordon's functional health patterns, nanda nursing diagnosis gout, nanda nursing diagnosis guidelines, nanda nursing diagnosis gerd, nanda nursing diagnosis gestational diabetes, nanda nursing diagnosis glaucoma, nanda nursing diagnosis gi, nanda nursing diagnosis geriatrics, nanda nursing diagnosis gangrene, nanda nursing diagnosis gallstones, nanda nursing diagnosis for gastroenteritis, nanda nursing diagnosis for gestational diabetes mellitus, nanda nursing diagnosis for guillain barre syndrome, nanda nursing diagnosis for gastroparesis, nanda nursing diagnosis hypertension, nanda nursing diagnosis handbook, nanda nursing diagnosis heart failure, nanda nursing diagnosis how to write, nanda nursing diagnosis hyperthermia, nanda nursing diagnosis hypoglycemia, nanda nursing diagnosis hypotension, nanda nursing diagnosis health promotion, nanda nursing diagnosis hopelessness, nanda nursing diagnosis hyperlipidemia, nanda nursing diagnosis high blood pressure, nanda nursing diagnosis hernia, nanda nursing diagnosis handbook free download, nanda nursing diagnosis hemorrhoids, nanda nursing diagnosis hyperglycemia, nanda nursing diagnosis hypothermia, nanda nursing diagnosis head injury, nanda nursing diagnosis hypothyroidism, nanda nursing diagnosis hyponatremia, nanda nursing diagnosis hip fracture, nanda nursing diagnosis in pregnancy, nanda nursing diagnosis is, nanda-i nursing diagnosis list, nanda-i nursing diagnosis list 2012, nanda nursing diagnosis jaundice, nanda nursing diagnosis journal, nanda nursing diagnosis for degenerative joint disease, nanda nursing care plan for juvenile diabetes, nanda nursing diagnosis knowledge deficit, nanda nursing diagnosis knowledge deficit diabetes, nanda nursing diagnosis kidney failure, nanda nursing diagnosis knowledge deficit related to medication, nanda nursing diagnosis knowledge deficit breastfeeding, nanda nursing diagnosis kidney stones, nanda nursing diagnosis knowledge deficit medication, nanda nursing diagnosis knee replacement, nanda nursing diagnosis knowledge, nanda nursing diagnosis for kawasaki disease, nanda nursing diagnosis for kidney transplant, nanda nursing diagnosis chronic kidney disease, nanda nursing diagnosis for kidney disease, nanda nursing diagnosis for knee surgery, nanda nursing diagnosis for kidney cancer, nanda nursing diagnosis for ketoacidosis, nanda nursing diagnosis for kwashiorkor, nanda nursing diagnosis list 2013, nanda nursing diagnosis list 2012, nanda nursing diagnosis list 2011 pdf, nanda nursing diagnosis list 2012 pdf, nanda nursing diagnosis leukemia, nanda nursing diagnosis list 2014, nanda nursing diagnosis list 2015, nanda nursing diagnosis list for newborns, nanda nursing diagnosis labor delivery, nanda nursing diagnosis list pdf, nanda nursing diagnosis list for pneumonia, nanda nursing diagnosis list for hypertension, nanda nursing diagnosis list with definitions, nanda nursing diagnosis list for pediatrics, nanda nursing diagnosis labels, nanda nursing diagnosis list for chf, nanda nursing diagnosis list for copd, nanda nursing diagnosis mrsa, nanda nursing diagnosis mental health, nanda nursing diagnosis must include, nanda nursing diagnosis medication compliance, nanda nursing diagnosis myocardial infarction, nanda nursing diagnosis maternity, nanda nursing diagnosis malnutrition, nanda nursing diagnosis meningitis, nanda nursing diagnosis multiple myeloma, nanda nursing diagnosis major depressive disorder, nanda nursing diagnosis-multiple sclerosis, nanda nursing diagnosis mi, nanda nursing diagnosis metabolic acidosis, nanda nursing diagnosis mental retardation, nanda nursing diagnosis mental illness, nanda nursing diagnosis muscle weakness, nanda nursing diagnosis maternal, nanda nursing diagnosis macular degeneration, nanda nursing diagnosis pain management, nanda nursing diagnosis nutrition, nanda nursing diagnosis noncompliance, nanda nursing diagnosis newborn, nanda nursing diagnosis nutrition less than body requirements, nanda nursing diagnosis nausea, nanda nursing diagnosis online, nanda nursing diagnosis obesity, nanda nursing diagnosis osteomyelitis, nanda nursing diagnosis osteoporosis, nanda nursing diagnosis obstetrics, nanda nursing diagnosis of mania, nanda nursing diagnosis of neurocysticercosis, nanda nursing diagnosis of diabetes mellitus, nanda nursing diagnosis of hernia, nanda nursing diagnosis on hypertension, nanda nursing diagnosis of pneumonia, nanda nursing diagnosis of inguinal hernia, nanda nursing diagnosis of meningitis, nanda nursing diagnosis of myocardial infarction, nanda nursing diagnosis of fracture, nanda nursing diagnosis of nephrotic syndrome, nanda nursing diagnosis of peptic ulcer, nanda nursing diagnosis of schizophrenia, nanda nursing diagnosis on fever, nanda nursing diagnosis of tuberculosis, nanda nursing diagnosis pain, nanda nursing diagnosis pneumonia, nanda nursing diagnosis psychosocial, nanda nursing diagnosis pregnancy, nanda nursing diagnosis pain acute, nanda nursing diagnosis pdf 2014, nanda nursing diagnosis pdf free download, nanda nursing diagnosis postpartum, nanda nursing care plan pneumonia