32 terms

PTH 122 Pulmonary pg 10, 11, 12 COPD ~

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chronic bronchitis, emphysema
2 major components of COPD
productive cough, expectoration
bronchitis has chronic...
3 mo period, 2 consecutive years
bronchitis is diagnosed when the condition has persisted for this period of time

(and has excluded other causes
GER, asthma, postnasal drip)
emphysema
abnormal permanent enlargement of airspaces beyond terminal bronchiole
alveolar walls
emphysema presents with destructive changes here
cigarette smoking
modifiable risk factor for COPD
a1 anti trypsin deficiency
protein lack that has a strong link to emphysema
chronic inflammation
COPD
inhaling pollutants cuases
glands, hypertrophy
COPD
these structures in the bronchial wall do this
excessive secretions
COPD
airway is obstructed by this
distal to the obstruction
COPD
air gets trapped distal to the obstruction
reserve volume
COPD
have hyperinflation (too much air in the lungs) which abnormally increases...
alveolar collapse
atelectasis
respiratory tract infections
COPD
stagnant bronchial secretions predispose the patient to recurrent...
hyperreactive
COPD
bronchial walls become...
hypoxemia, hypercapnia,
cor pulmonale
COPD leads to these bad things
right ventricular hypertrophy
cor pulmonale causes this heart defect
pulmonary hypertension
(d/t chronic lung disorders)
the thing that caused the cor pulmonale
cough
COPD
s/s
chronic...
phlegm
COPD
s/s
production of
exertional dyspnea
COPD
s/s
breathing trouble typical to COPD
barrel chest
COPD
s/s
increased AP thorax diameter gives appearance of...
distant, inaudible
COPD
s/s
breath and heart sounds are often...
wheezing
COPD
s/s
expired air forced through a narrow airway causes this adventitious breath sound
crackles
COPD
s/s
the other abnormal breath sound besides wheezing
cyanosis
COPD
s/s
known as the "blue bloater" b/c of this
digital clubbing
COPD
s/s
common sign of long term hypoxemia
broad, thick
with digital clubbing the tips of the fingers and toes become this
smoking
COPD
Rx
Stop...
respiratory tract infections (RTI's)
COPD
Rx
prevent or aggressively manage these
flu, pneumonia (shots)
COPD
Rx
prophylactic immunizations to get
tetracycline, erythromycin, ampicillin
COPD
Rx
ABX