Nursing care of patients with chronic obstructive pulmonary disease with acute exacerbation
Abstract
A case study of a 66-year-old Thai man who was checked in outpatient facility, Thepharak hospital on 6 December 2019 with coughing and shortness of breath for 4 hours before coming to the hospital. The patient had a history of chronic obstructive pulmonary disease. There are 3 phases of nursing care. The first phase is pre-examination nursing. The patient had frequent coughing, shortness of breath, and was laid on a stretcher. The patient was placed on a stretcher and lying down. Fingertip oxygen level was 95%. The patient was treated by congenital disease spaying (Berodual MDI 2 puff for 2 times 15 minutes apart). The symptoms were closely assessed. Nurse prepared medical records and coordinated with the doctor to bring the patient for immediate examination. Phase 2 is nursing during checkup. Doctor diagnosed the patient with an acute exacerbation of COPD. During checkup, the symptoms of patient was changed with fingertip oxygen level as 93%. The patient was taken to the accident and emergency room and received intubation and was admitted in hospital. Phase 3 is nursing after checkup. Nurse assessed symptoms after intubation. The patient was received intravenous fluids. After that, nurses contacted and coordinated and safely transported to the general ward.
