HOW
here’s
Chronic Lung Disease
Product # 577B
About chronic lung disease Living with a chronic lung disease means learning to manage it. This is the key to breathing better. You can live a normal, healthy life. This book will teach you how to do that.
Order this book from : PRITCHETT & HULL ASSOCIATES, INC. 3440 OAKCLIFF RD NE STE 126 ATLANTA GA 30340-3006
or call toll free: 800-241- 4925 CopyrightŠ 2019 by Pritchett & Hull Associates, Inc. All rights reserved. No part of this book may be photocopied, reprinted or otherwise reproduced without written permission from Pritchett & Hull Associates, Inc. This book is written to help you learn about COPD. It does NOT replace your doctor’s advice or treatment. Published and distributed by: Pritchett & Hull Associates, Inc. Printed in the U.S.A.
What to do To manage your chronic lung disease: ●● take all your medicines (even if you feel better) ●● use oxygen if your doctor has told you to ●● do breathing exercises ●● avoid stress ●● drink fluids ●● exercise
Don’t smoke!
1
Take your medicines Some medicines are pills you take with water.
2
Some medicines have to be inhaled (breathed in). Here’s how:
medicine can
1
Put the can in the inhaler.
cap inhaler
2
Take the inhaler cap off.
3
Shake the inhaler well.
4
Put the inhaler into a holding chamber (spacer). spacer
Continued on next page 3
5
Stand or sit up straight, then breathe out.
6
Put the spacer over your tongue and between your teeth.
7
Seal your lips around the spacer as shown.
8
Press down on the can 1 time while you breathe in slowly.
Continued on next page 4
9
Hold your breath for 10 seconds, then breathe.
10
Rinse your mouth with water and spit it out.
If you are to take more than 1 puff of medicine, wait 15-30 seconds. Then do steps 5-9 again; then go to step 10.
11
Take the inhaler out of the spacer.
12
Put the cap back on the inhaler.
Do not keep or use the inhaler near an open flame.
5
Keep it clean. . . . . .to avoid infection. After each use:
1
Take the can out of the inhaler.
2
ix 1 cup white vinegar and M 3 cups hot water in a bowl.
3
ut your inhaler and P spacer into the water.
4
Soak for 15-20 minutes.
5
Rinse and shake off water.
6
Air dry.
7
Put in a bag. 6
Oxygen If you need to use it, ask your doctor or nurse to fill this in.
Oxygen c om p any: Phon e num b e r: Liter fl ow at re s t *: Liter fl ow w i t h exe r c i se : Liter fl ow w h en as l e e p: Hou rs and /o r t i m e o f da y t o u se :
* The liter flow means the amount of oxygen the tank releases.
7
Ways to use oxygen
or
Oxygen tank
Oxygen concentrator
Ask your doctor or nurse which is best for you.
8
Oxygen safety ●● Know how to use your equipment. ●● Store it away from heat or direct sunlight. ●● If using a cylinder, make sure
it cannot tip over.
●● No smoking near oxygen. ●● Do not increase the liter flow
without asking your doctor.
●● Do not use any oil-based products
(like Vaseline) with it.
●● Do not use it near an open flame. ●● Be careful when using
things that might spark.
Call your oxygen company with any questions.
9
10 name
What I take it for
How much I should take When I take it
How to take it
Side effects
Š Pritchett & Hull Associates, Inc.
Patients may copy this page.
Take this with you each time you go to your doctor or drug store.
Medicine name
Ask your doctor or nurse to help you fill in this chart.
Medicine chart for
Breathing exercises . . .help you control your breathing when you have shortness of breath.
I feel so much better!
11
When you cannot breathe Sit this way head forward
or
back against chair
or
rest hands on stomach
or stand this way
12
stretch out and put elbows on table
1
Breathe in through your nose and out through your mouth slowly.
2
Use pursed lip breathing, if it helps (see pages 14-15).
3
Slow your breathing and breathe through your nose.
4
Begin diaphragmatic breathing (see pages 16-17).
5
Stay this way for 5 minutes or until you can breathe ok.
13
Pursed lip breathing
1
Breathe in slowly and count to 2.
2
Purse your lips like you are going to whistle.
14
3
Breathe out slowly and count to 4.
4
Keep doing this until you are not short of breath.
This can be done anywhere at any time.
15
Diaphragmatic (dye-uh-fra-ma-tik)
breathing 1
Sit up straight. Or lie on your back with pillows under your head and knees.
2
Put one hand on your chest so you can feel your rib cage muscles move.
3
Put your other hand in the middle of your stomach to feel your diaphragm move. exhale
4
Pull your stomach in.
16
inhale
5
Push stomach out.
6
Rest after 3 or 4 times.
Do this
times each day.
17
Controlled coughing 1
it up and S lean your head forward a little.
2
inhale
Inhale for 2 seconds.
3
Cough once to loosen mucus. Do not breathe yet. Cough a second time to move mucus forward.
18
co
ug
h
4
inhale
Inhale again.
5
Relax.
6
Do steps again if you still need to cough.
Use small, short coughs.
19
Avoid stress Stress can make shortness of breath worse.
Learn to relax
20
Drink fluids Drink 8-13 cups of fluid each day*. Water is best.
* Ask your doctor if 8-13 cups is okay for you.
21
Exercise . . .most days of the week for at least 30 minutes. Talk to your doctor before starting.
Ask about a rehab program to get started.
22
Make work simple . . .to save energy.
23
What to watch out for These can make your disease worse.
Smoking
Pollution Allergies Dust
Stress
Weather Some foods
24
Don’t smoke . . .or use tobacco products.
If you need help to quit, ask your doctor or nurse about programs to help you.
25
Pollution, dust and allergies . . . make your disease worse. Avoid them.
Crowded places make it worse too.
26
Weather Avoid very cold air. Avoid very dry air too.
27
Foods . . .can affect your chronic lung disease. Eat 5-6 well-balanced meals a day.
Work with your doctor or nurse to make a meal plan just for you.
28
Track your weight . . .to see if your body is holding fluid.
I should weigh
to
pounds.
(Your doctor or nurse will tell you this.)
Date/Time
Weight
29
Call your doctor . . .if you have any of these: ●● more or less mucus ●● stickier mucus ●● change in color
white, clear, watery
of mucus
●● more shortness
Healthy mucus
of breath
●● swollen ankles ●● sudden weight gain
or loss
colored or blood streaked
●● feeling tired a lot ●● headaches, dizziness
or trouble sleeping
Doctor's number:
30
Infected mucus
Also call the doctor if you: ●● cough more often or worse ●● have a faster pulse than normal ●● have trouble seeing or thinking ●● aren’t hungry or don’t want to eat ●● are thirsty a lot ●● have a fever over 101ºF
Get a flu shot each year. You may also need a pneumonia vaccine. Talk to your doctor about this.
31
To help manage your chronic lung disease . . .use this checklist:
Don’t smoke or use tobacco Take all your medicine as prescribed Exercise some each day Do breathing exercises Use oxygen (if needed) Avoid stress and relax
32
Save your energy Drink fluids Eat healthy foods Track your weight Avoid smoke, pollution, dust, allergies and crowds Avoid very cold or very dry air
Questions If you want to ask your doctor or nurse something, write it here. That way you won’t forget it at your next visit. Here is one to get you started: can I do if I am making a noise Q. What when I breathe?
A. Q. A. Q. A. Q. A.
Reviewers: Kathi Robinson, RRT Fort Myers, FL Wendy Dion, RN Manager Cardiovascular/ Pulmonary Rehab Mequon, WI
We believe that you have the right to know as much as you can about your health. Our goal is to give you enough facts to get the main points clearly in mind. We do this with medical accuracy, warmth and humor. The result for you: less tension, more healing and a good idea of what to ask your doctor, nurse or others. We also have other health information materials on a variety of topics. Call for a free catalog of product descriptions.
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