MSN-FPX6021 Concept Map

Concept Map

Marilyn Melendez

Capella University

NURS-FPX6021 – Biopsychosocial Concepts for Advanced Nursing Practice I

Dr. Hooven

October 24, 2021

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Concept Map COPD

Treatment

Oral corticosteroids such as beclomethasone (Qvar), budesonide (Pulmicort),

fluticasone (Flovent), mometasone (Asmanex)

(Hanania et al.,2017).

Patient Info:

54 yr old African American appears7 0 yrs old with dx of COPD , Hx seizures Smokes (1 ½

pack a day.) Pt has O2 2L/min via Nasal cannula. Unable to performed ADL’s due SOB

when walking short distances.

Outcomes:

Reduced episodes of dyspnea during an

activity.

Treatment:

Teach the patient on exercises that enhances breathing capacity such as diaphragmatic and purse-lip breathing.

Outcomes:

Improvement of breathing pattern.

Most Urgent Nursing Diagnosis: Impaired Gas Exchange r/t

altered oxygen supply AEB SOB and the need to use oxygen.

COPD

PRIORITY ASSESSMENTS:

1.SOB

2.Activity Intolerance

3. Irregular Lung Sounds

Outcomes:

Demonstrate improved ventilation and adequate oxygenation of tissues by

ABGs within patient’s normal range and be free of

symptoms of respiratory distress.

Treatment

Spirometer use.Treatment:O2 2l/via nasal

canula Terbutaline 0.3 mg

SQ every 3 hr prn for SOB,

Aerosol Alupent 0.25cc’s in

2 cc’s NS q 6h.

Nursing Diagnosis 3: Activity Intolerance Related to an Imbalance between oxygen supply and demand due to inefficient work breathing AEB dyspnea when walking short distances.

[Other, Insert

Appropriate

Title]

Nursing Diagnosis 2: Ineffective Breathing Pattern r/t Ineffective inspiration and expiration occurring with chronic airflow constraints, AEB irregular lung sounds. Wheezes/crackles on auscultation on both lung fields

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