COPD (Chronic Obstructive Pulmonary Disease), Chronic Bronchitis, Emphysema-NCLEX Part 1

Chronic obstructive pulmonary disease (COPD) nursing NCLEX lecture on the pathophysiology, signs and symptoms, types (chronic bronchitis and emphysema), complications, and how it is diagnosed. COPD is a pulmonary disease that causes chronic obstruction of airflow from the lungs. The cause of the limited airflow is due to chronic inflammation and narrowing of the bronchioles which becomes deformed over time and produces excessive mucous (mainly in chronic bronchitis) and the loss of elasticity of the alevoli sacs (mainly found in emphysema). These problems lead to limited gas exchange such as respiratory acidosis due to extreme retention of carbon dioxide (CO2) and low availability of oxygen. COPD is a "catch all" term used to describe diseases that limit airflow which now includes diseases such as chronic bronchitis and emphysema. Patients with chronic bronchitis are sometimes referred to as "blue bloaters". This is because of the cyanosis and edema (hence the bloating) experienced with this disease. Patients with emphysema are sometimes referred to as "pink puffers". These patients do not experience cyanosis, although they have low oxygen levels but maintain a "pink" appearance due to the compensatory state of hyperventilation keeping the oxygen level sufficient enough. The hyperventilation leads to the increased usage of the accessory muscles which leads to a barrel chest look (increased anteroposterior diameter noted on inspection). Signs and symptoms of COPD include: chronic dry or productive cough, lack of energy, extreme dyspnea, abnormal blood gases, abnormal lung sounds (coarse crackles or wheezing), barrel chest, tripod position for breathing, poor nutrition, recurrent lung infection etc. Complications of COPD include: heart disease such as right-sided heart failure, pulmonary hypertension, pneumothorax, pneumonia, increase risk of lung cancer. Chronic obstructive pulmonary disease is diagnosed with spirometry. Don't forget to watch Part 2 which includes the nursing interventions and medication regime for COPD.

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[RegisteredNurseRN]

Hey Everyone! Thanks for watching. Don't forget:

[loganmcguire]

You have helped thousands of students get through nursing school! Thank you!!!

[jaimecbn]

My wife thinks highly of you & better than any dr she has met in her lifetime. God bless you.

[lianliu]

Dear Sarah,
Because of your Lovely Vedio, I Passed NCLEX With 76 questions
Thank you so much
I am Still Study your Vedio
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[alejandragrau]

I know you probably will not see this comment as this video was a year ago but I just had an exam and oxygenation was on it and I was reading/looking through my notes but nothing made sense. So my cousin that is a nursing student as well recommended your videos to me and thanks to you and your videos I understood this completely!! I even got a 90!!! (my first 90!) Thank you for the videos you do, all of us nursing students really appreciate the time and effort you take to do these!

[JoanKentBible]

I have bronchiectasis, which means I have to cough up copious amounts of mucus, every day in order to keep infections at bay. This, of course, has caused my voice to become fairly low and croaky. But, hey ho, so long as we still have a voice we must use it to good effect, however that can be done. I endevour to get out every day and talk to as many people as possible, also to keep a pleasant expression, maybe even a smile on my face. It all helps to keep me from feeling isolated. As I walk I discretely take large breaths in and hold for the count of 10 and then gently release for ten. I find that this really helps to make me more energised for the rest of the day. I do this maybe four times or more, depending on how I feel. Once again discrete coughing into a tissue, when necessary, helps.
So long as you still have life in you, use it to help others in any way you can. I know that on some days walking around the stores with a ready smile is as much as I can muster, but, oh boy, does it make a brilliant difference to my day.
Believe it or not, some people are going through worse trials than we are and desperately need a smile!

[kennethweiss]

I wasn't able to leave a comment at your full body assessment video but I'll leave one here. Your lectures are just fantastic. TY!

[aroosababes]

Your vedios helps me alot, , welldone and God bless you

[NoelleAnais]

I am currently in an accelerated BSN program and I really appreciate your channel! it really pulls everything together and makes the key concepts clear! Sometimes with the program moving so fast I get overwhelmed and feel like I don't have a lot of time to digest info, but your videos have helped me out tremendously.

[siyathembasiazmatshaya]

RN for 4 years experience thank you so much for the information

[pierceryan]

Excellent information for the everyday pperson..Oui.

[rickyx]

As a severe emphysema sufferer myself, I found this video very informative

[roxannagordon]

I only listened to one so far and it was great

[aleck]

I'm a health educator for the homeless and needed a brush up COPD ahead of presenting a class. Your material and explanations are excellent; thank you and keep up the great work!

[michaezell]

I have COPD and am really in a flare up right now following a hospitalization for pneumonia. At best my O2 sats hover around 90 without O2 therapy. Thank heavens for an oxygen generator at home.

[buchichukwuka]

You are the best. Am a medical student but you explain well, i barely go through my text books and I do greatly well in classes. You are good

[daizym.]

God i wish my professors taught like you ❤

[brimanns]

I’m in school for respiratory therapy and I came across this video and it helped me so much!!💕

[courtneyspangler]

Thank you for all of your help! You truly help me understand. Nursing school is better with you.

[ashbreault]

This is amazing. I have a test on COPD in 2 days and I feel like I’ve learned and retained more from her video than from my lecture slides. I swear by the time I graduate, i will have watched every single registerednurseRN video!