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Flashcards in COPD Deck (11):
1

Describe chronic bronchitis:

a CLINICAL diagnosis based on the presence of a cough and sputum production for ON MOST DAYS FOR AT LEAST 3 MONTHS DURING 2 CONSECUTIVE YEARS.

2

describe emphysema:

a pathologic diagnosis based on permanent abnormal dilation and desctruction of aveolar ducts and airs spaces distal to the terminal bronchiols.

3

describe the conditions and diagnostic eval of PFTs

PFTS:
FEV1/FVC will always be less than 70%

Mild: FEV1>80% predicted
Mod: 30<50 with evidence of respiratory failure or Right Heart Failure

4

describe the conditions and diagnostic eval of CXR for E

Emphysema:
hyperlucency
small heart
flat diaphragm
Hyperinflation
increased retrosternal space
increased AP diameter
Bullae formation (on CT)

5

describe the conditions and diagnostic eval of CXR for CB

increased lung markings, cardiomegaly, pulmonary HTN, cor pulmonale

6

Pink Puffer:

thin, exertional dyspnea, minimal cough, hyperinflation, flat diaphragm on CXR, small heart decreased 02 and C02, PURSED LIP BREATHING,

7

Blue Bloater

stocky obese, dsypnea on exertion AND rest, cough and sputum, increased lung markings, big heart, decreased 02 and ELEVATED C02. Blue hands, tongue, pulmonary htn, cor pulmonale

8

What is the single most preventative cause of premature death in the US

smoking

9

what therapy can help improve the life span of someone with COPD?

02

10

Smoking cessation options

nictotine replacemnts
antidepressents: welbutrin, and nortryptiline
chantix: non-nictonie, but many side effects

11

Common medications for long term management of COPD, for acute exacerbations, and smoking cessation

1. inhaled beta 2 agonists, anticholinergics
2. corticosteroids (long term)
3 may want abx for infections/exacerbations
4make them get the flu and pneumococcal vaccine
5.theyophylline--> not really used anymore
6.02