1. Pathophysiology of Chronic Airflow Limitation

2. Chronic Obstructive Lung Disease Chronic Bronchitis
Presence of chronic productive cough for 3 months in 2 successive years in a patient in whom other causes of chronic cough have been excluded
Frequent respiratory infections
Hx of cigarette smoking for many years
Hypoxemia & Hypercapnia result from hypoventilation
Bluish-red color of skin
Polycythemia – body’s attempt to compensate for chronic hypoxemia by increasing production of red blood cells

3. COPD -- Interaction of Chronic Bronchitis & Emphysema

4. Chest Physiotherapy

5. Chest Percussion Cupped Hand Technique

6. Postural Drainage

7. Nursing Care Management Risk for Infection
Assess:
Change in color, consistency, quantity, odor & viscosity of sputum; difficulty mobilizing secretions; foul oral odor; increased dyspnea; fever; chills; diaphoresis; changes in respiratory rate & quality; breath sounds; hypoxemia; hypercapnia – VS & pulse oximetry
Nsg Action:
Humidification; specimen collection; medication administration
Pt Education:
Hand-washing; avoid contact with infected individuals; care & cleaning of home respiratory equipment; when to seek medical attention; steroid use; medication use