NURSING 3PA2 Lecture Notes - Lecture 38: Comorbidity, Hyperinflation, Cardiomegaly
10 Apr 2018
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Vaccinations [specifically annual influenza vaccine, and pneumococcal vaccine every 5-10 years. Annual influenza vaccine reduces morbidity and mortality or the disease by as much as 50% in elderly patients, and hospitalization rates are reduced by as much as 39% in persons with chronic lung disease. Although the benefit of pneumococcal vaccine is less well established, the canadian thoracic society recommendations are that it be given at least once, and possible repeated every 5-10 years] Regular long-acting bronchodilator therapy in [may be prescribed in] moderate to severe copd lomoar cpsd|2151316. Oxygen; combo therapy b-agonists and anticholinergics; po, iv, inhaled corticosteroids [administering oxygen, combination therapy of beta-2 agonists. Self-management education [reinforcement of self- management education] and anticholinergics, and oral, intravenous or inhaled corticosteroids] Consider intravenous methylxanthines, antibiotics, nippv [the medical team may consider iv methylxanthines, antibiotics, noninvasive positive pressure ventilation] Tx comorbidities prn [important to treat comorbidities as needed]
