COPD isn’t one disease — it’s chronic bronchitis emphysema. ▪️ Chronic bronchitis = inflamed airways excess mucus → narrowed bronchi ▪️ Emphysema = destruction of alveoli loss of surfactant → air trapping Air goes in… but it can’t get out. That trapped air leads to CO₂ retention, barrel chest, tripod positioning, and pursed-lip breathing as compensation. Nursing priorities: ▫️ Pursed-lip breathing to help exhale CO₂ ▫️ Oxygen LOW & SLOW (goal SpO₂ 88–92%) ▫️ High Fowler’s / tripod positioning ▫️
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