3.1 COPD

Question 1

COPD cover

Answer 1

Chronic bronchitis
Emphysema

Question 2

Chronic bronchitis

Answer 2

Long-term inflammation of airway
Mucus hypersecretion

Question 3

Emphysema

Answer 3

Loss of alveolar structure

Question 4

Causes of chronic bronchitis and emphysema

Answer 4

Increase work of breathing
Impaired expiration with air trapping
Impaired gas exchange

Question 5

Clinical manifestations

Answer 5

Chronic cough
Chronic sputum production
Dyspnea on exertion (progressively)

Barrel chest
Weight loss
Use of accessory muscle

Question 6

Deficiency in alpha 1-antitrypsin result in

Answer 6

Emphysema

Question 7

Why oxygen should be used with caution in COPD patients
Compare with normal respiration

Answer 7

Normal: driven by the O2 level of CO2 in arteries, increase CO2 trigger Ventilation

COPD: chronically high in CO2 level in blood, body begin to rely more on O2 receptors, increase O2 decrease rate of respiration

Carefully monitored

Question 8

First line treatment of COPD

Answer 8

SABA