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COPD has been around for a long time, but it is only recently that commercials have informed people about the true problems associated with COPD and the drastic measures people with this disease have to do to try to live a normal lifestyle. Since this is a problem with the lungs, some people have to carry an oxygen tank and be hooked up to it in order to have enough oxygen.
Then they must carry this tank with them for the rest of their lives. Oxygen seems to be the biggest issue concerning people who deal with this issue. However, the best thing that a nurse can do for a patient with advanced COPD is to promote adequate gas exchange by having the patient use a mask for oxygen.
Using a venturi mask to deliver oxygen as ordered-rationale: the client with copd retains carbon dioxide, which inhibits stimulation of breathing by the medullary center in the brain. as a result, low oxygen levels in the blood stimulate respiration, and administering unspecified, unmonitored amounts of oxygen may depress ventilation. to promote adequate gas exchange, the nurse should use a venturi mask to deliver a specified, controlled amount of oxygen consistently and accurately. drinking three glasses of fluid daily wouldnt affect gas exchange or be sufficient to liquefy secretions, which are common in copd. clients with copd and respiratory distress should be placed in high fowlers position and shouldnt receive sedatives or other drugs that may further depress the respiratory center.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 694.