Cardiopulmonary Exam- Pathologies- COPD

Question 1

is COPD obstructive or restrictive?

Answer 1

obstructive

Question 2

outline 8 points relating to body functions/structures?

Answer 2

UMBRELLA TERM FOR

• chronic bronchitis (inflammation of airways)
• emphysema (destruction of alveoli)
• damage to epithelial lining=damage to cilia=affects mucocilary clearance
• increased sputum production
• destruction of alveoli walls=reduced surface area
• body forces air through airways due to irritation= persistent cough
• wheezing/SOB
• crackles if secretion retention is present

Question 3

outline 6 points relating to activities?

Answer 3

• difficulty walking/moving about
• reduced exercise tolerance (SOB)
• difficulty lifting/carrying heavy items
• chores become difficult
• stairs become tiring
• morning activities (e.g. getting out of bed, washing etc.) become hard work

Question 4

outline 4 points relating to participation?

Answer 4

• SOB/coughing means sports become difficult
• may be unable to continue working/commuting
• social activities/hobbies may become too tiring
• may not be able to care for family etc.

Question 5

outline 4 points relating to environmental factors?

Answer 5

• secondhand smoke
• chemical fumes/dust
• air pollution
• home/work locations (can they get about?)

Question 6

outline 7 points relating to personal factors?

Answer 6

• smoking (damages epithelial lining)
• personal goals?
• comorbidities?
• age/gender? more prevalent in women/40+
• support networks?
• family medical history?
• mental health issues?