COPD Flashcards Preview

Clin Med I - Pulmonary > COPD > Flashcards

Flashcards in COPD Deck (19):
1

What is the typical onset of asthma v. COPD?

- asthma: any age, childhood & adolescent
- COPD: over 40

2

What are triggers for inflam response of asthma v. COPD?

- asthma: allergens, cold air, exercise
- COPD: smoker or other continuous noxious stimuli

3

What are the symptoms of asthma v. COPD?

- asthma: intermittent wheezing, dyspnea, cough
- COPD: daily or near daily dyspnea and cough

4

What is the clinical course of asthma v. COPD?

- asthma: manageable with proper treatment
- COPD: progressive, not reversible

5

What two diseases make up COPD?

- chronic bronchitis
- emphysema

6

Define COPD

- persistant airflow limitation
- progressive
- chronic inflam response

7

Define chronic bronchitis

- presence of cough & sputum production for at least 3 mo in each 2 consecutive years

8

Define emphysema

- destruction of alveoli

9

What are the risk factor and causes of COPD?

- *smoking*
- genes
- age (>52)
- gender (F)
- lung growth/devel
- exposure
- blue collar socioeconomic status
- hx of asthma
- chronic bronchitis
- infections

10

What are the physiologic changes that take place in COPD?

- inflammation
- hypertrophy
- hyperplasia
- scarring, fibrosis
- destruction of alveoli

11

Describe a pink puffer

- pursed lip breathing
- thin or cachetic
- physically wasted and malnourished

12

Describe a blue bloater

- bloated appearance
- cyanotic
- edema from cor pulmonale

13

What are signs and symptoms of chronic bronchitis?

- V/Q mismatch
- hypercarbia
- hypoxia
- plethoric
- cyanotic
- polycythemia

14

What are signs and symptoms of emphysema?

- dyspnea
- cough
- bullae

15

What do you look for on physcial exam for COPD?

- tachypnea
- tachycardia
- prolonged expiratory phase
- accessory muscle use
- wheezing
- cor pulmonale
- clubbing
- smell of cigarettes, stained teeth or fingers

16

What diagnostic studies should be performed for COPD?

- spirometry
- CXR (only r/o complications)
- pulse oximetry
- blood gases
- labs
- EKG

17

What are the goals for treatment of stable COPD?

- relieve symptoms
- improve exercise tolerance & health status
- prevent disease progression
- prevent & tx exacerbations
- reduce mortality

18

What is the managment/treatment of COPD?

- *smoking cessation*
- avoid noxious stimuli
- immunizations/vaccines
- bronchodilators (beta 2 adrenergic agonists)
- anticholinergics
- steroids & abx per sup. md
- push fluids
- pulm rehab
- O2 therapy
- surgical procedures
- control secretions

19

What are the surgical options in the treatment of COPD?

- bullectomy
- lung volume reduction
- lung transplant