Nursing 460, Idiopathic Pulmonary Fibrosis
Nursing 460, Idiopathic Pulmonary Fibrosis 460
Popular in Nursing Concepts IV: Health of Maturing Adults / Chronic Disease
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This 2 page Class Notes was uploaded by ndp33 on Wednesday July 6, 2016. The Class Notes belongs to 460 at Niagara University taught by in Summer 2016. Since its upload, it has received 10 views. For similar materials see Nursing Concepts IV: Health of Maturing Adults / Chronic Disease in Nursing and Health Sciences at Niagara University.
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Date Created: 07/06/16
Idiopathic pulmonary fibrosis -It is a chronic, progressive, fibrosing interstitial lung disease with no known cause that usually affects adults over 40, with a poor prognosis and no proven effective treatment. -Patients with IPF are often middle-aged, between 40 and 70, in more males than females. -There is no certain geographic distribution of IPF -When patients are diagnosed, their cases are usually advanced -Risk factors can include: Smoking, hairdressing chemicals, farming dust, and metal dust exposure -While the pathogenesis is not exactly known, it may involve a microinjury at the epithelia cells, resulting in a progressive scarring. Overtime, this leads to stiff lungs that lose their normal function. -Signs and symptoms of IPF can include: Progressive dyspnea upon exertion, A nonproductive cough, Interstitial infiltrates on chest radiographs Abnormal pulmonary function tests -As the disease progresses, there are also s/sx of: Bibasilar crackles on inspiration Tachypnea, Weight loss and fatigue Pulmonary hypertension, and right sided heart failure -Laboratory and diagnostic tests for IPF include: Pulmonary function tests (which turn out to be abnormal) Broncheoalveolar lavage (involving the insertion of a bronchoscope) Broncoscopy Echo Elevated ESR rate, an elevated hemoglobin value, which incates hypoxemia secondary to IPF -There is no proven treatment for IPF; patient must be provided support and preserve the remaining lung function Oxygen therapy is given for hypoxemia Meds given can include: corticosteroids and cytotoxin or antifibrotic agents, Lung transplantation is possible, but there is a high mortality rate -
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