title: Acute exacerbation of COPD: nursing application of evidence-based guidelines.
abstract: Nurses in acute care settings play a vital role in caring for individuals during an acute exacerbation of chronic obstructive pulmonary disease (COPD), the fourth leading cause of death in the United States. In addressing this health concern, the Global Initiative for Chronic Obstructive Lung Disease Report summarized the goals for COPD management and recommended treatment supported by current data and research. It is imperative that our clinical nursing practice is based upon research-supported interventions: use of appropriate medications, monitoring acid-base status, administering controlled oxygen therapy, assessing the need for mechanical ventilation, and close monitoring of comorbid illnesses. Health promotion includes patient and family education on early recognition of symptoms, smoking cessation strategies, and participation in pulmonary rehabilitation that can reduce long-term morbidity from this chronic disease.
authors.affiliation: College of Nursing, University of llinois at Chicago, USA. cindygronk@aol.com
authors.forename: Cynthia
authors.initials: C
authors.lastname: Gronkiewicz
authors.forename: Marilyn
authors.initials: M
authors.lastname: Borkgren-Okonek
mesh_terms: D000208:Acute Disease; D000359:Aftercare; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001993:Bronchodilator Agents / Q000627:therapeutic use; D003422:Critical Care / Q000379:methods / Q000592:standards*; D019317:Evidence-Based Medicine; D006293:Health Promotion; D006801:Humans; D009017:Morbidity; D024802:Nurse's Role; D009730:Nursing Assessment; D010102:Oxygen Inhalation Therapy; D010351:Patient Discharge; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D016540:Smoking Cessation
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D001993:Bronchodilator Agents