Copd Exacerbation Case Study

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Oral vs. IV steroids for COPD exacerbation, is either regimen better?

Chronic Obstructive pulmonary disorder is progressive lung disease characterized by shortness of breath, wheezing, or chronic cough. The disease worsens over time producing more mucus, chest tightness, and additional symptoms. The causes of COPD are cigarette smoking, long-term exposure to chemical fumes and other irritants. The airways can become thick and inflamed.

The standard of care for COPD exacerbations are systemic corticosteroids. Corticosteroids work by binding the glucocorticoid receptor resulting in an increased expression of anti-inflammatory compounds, which then reduce inflammation. This anti-inflammatory effect would then be beneficial in reducing symptoms of COPD exacerbation by decreasing the inflammation of airways. Systemic …show more content…
Corticosteroids can be given orally or intravenously and clinicians debate, which route is the most beneficial.

Oral or Iv Prednisolone in the treatment of COPD exacerbations published in the CHEST journal explored possible differences or similarities in oral vs IV therapy with systemic corticosteroids. The paper hypothesized that oral therapy is equivalent to IV therapy. The bioavailability of the oral route is 100%, which would be equivalent to administering the steroid intravenously. Some benefits of the oral route include: ease of administration, the need for fewer personnel and eliminating the need for IV access. The primary outcomes of this study included treatment failure, death, ICU admission, and

Emphysema Research Paper

The word exacerbation has its root in the Latin descriptive acerbus, meaning harsh, bitter, sharp, and more at edge. Hippocrates (460-377 BC) – The father of medicine had described old men suffering from breathlessness associated with catarrh and cough. Some of the earliest references to the description of emphysema include: Bonnet’s description of “voluminous lungs” in 1679: Morgagni’s (1769) description of 19 cases in which the lungs were “turgid”, particularly from air. Bierner (1855) - credited…

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Essay on Chronic Obstructive Pulmonary Disease (Copd; Emphysema) Patho

Chronic Obstructive Pulmonary Disease (COPD; Emphysema) Pathophysiology Abakyereba Kwansemah June 4, 2014 Abstract D.Z.is a 65-year-old man admitted to medical ward with an exacerbation of chronic obstructive pulmonary disease (COPD; emphysema). Past medical history (PMH) indicates hypertension (HTN), well managed with enalapril (Vasotec) past six years, diagnosis (Dx) of pneumonia yearly for the past three years. D.Z. appears cachectic with difficulty breathing…

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Care Plan Essay

Fall 2011 Volume 6 No. 3 Addressing the needs of the Canadian COPD patient FIGHTING FATIGUE: HOW TO INCORPORATE FATIGUE FIGHTING MEASURES . ............................5 TASTY AND LOTS OF FUN, BUT IT CAN BE VERY RISKY. ..................7 IS THAT YOU SNORING OR IS A FREIGHT TRAIN COMING? ..........1 IF YOU BOOZE, YOU LOSE: OBSTRUCTIVE SLEEP APNEA: Obstructive Sleep Chronic Obstructive Pulmonary Disease Apnea (OSA) Meeting the challenges Sleep apnea is a serious and sometimes life…

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Obstructive Lung Disease

narrowing or blockage of the airways causing increased resistance to airflow. This obstruction is usually progressive, not fully reversible and does not change markedly over several months. The most common group of COPD include chronic bronchitis, emphysema and small airway disease. COPD is predominantly caused by smoking. Airflow obstruction is defined as a reduced FEV (volume of air that can be expelled from maximum inspiration in 1st second) and a reduced FEV1/FVC ratio (Tifferean-Pinelli index)…

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COPD Research Paper

. What causes people with COPD to have a barrel chest? Describe etiology Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable disease characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. COPD patients often develop hyperinflation. Hyperinflation occurs due to expiratory flow limitation caused by reduced lungs’ elastic recoil and…

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Nursing Case Study Pneumonia

Madison Kauffman NURS 437 Case Study To begin, my patient was an eighty-six-year-old male who was admitted to Penn Highlands Dubious on February 7th, 2018 He complained of severe dyspnea and increased shortness of breath aggravated by activity. He was diagnosed with right lower lobe pneumonia and had a secondary diagnosis of an exacerbation of congestive heart failure. Pneumonia can be defined as “an infection in the lungs involving the alveolar sacs and can be caused by microbes, including bacteria…

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Pathogram: Chronic Respiratory Failure Essay

Chronic Respiratory Failure Shelby Lynch Date of Care: 03/19/2013 Chamberlain College of Nursing NR 340: Critical Care |Assessment |Medical/Nursing Diagnoses |Treatment | |Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities…

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