Caring for pulm pt Flashcards
Do smokers respond better or worse to perio tx?
Worse
Smokers become refractory to the traditional perio tx and tend to show more perio breakdown than non-smokers after therapy
Refractory periodontitis
What is the. major issue with smoking in regards to perio ds?
Vascularity changes
*Airway hyper-responsiveness to stimuli
*Bronchial edema
*Narrowing of the airways i.e., obstruction
Asthma
Signs and Symptoms of ______:
Recurrent, reversible episodes of:
*Dyspnea (shortness of breath)
*Wheezing
*Coughing
*Tightness of chest
Asthma
____ asthma
*Second most common
*Middle-aged individuals
*Triggered by respiratory irritants (tobacco, air
pollution, emotional stress, gastroesophageal reflux
disease (GERD)
*Infrequently associated with family history
*Normal IgE levels
Intrinsic asthma
For asthma pts, should we avoid or use these meds?
➢Aspirin, NSAIDs, Narcotics, Macrolide antibiotics
like erythromycin.
➢Sulfite (preservative) containing local anesthetics
may need to be avoided.
Avoi
_______ is the
drug of choice for an acute asthma attack
Short-acting Beta2-adrenergic agonist (inhaler)
3rd leading cause of death in US
COPD
_______ (chronic obstruction - small airways)
* Excessive tracheobronchial mucus production to cause
coughing and sputum production for >3 months for >2
consecutive years in the absence of infection or other causes
of chronic cough
Bronchiolitis
- Longterm Chronic obstructive bronchiolitis leads to destruction
of lung parenchyma and alveolar walls - Decreased elastic recoil
- Difficulty in maintaining airway opening during expiration
Emphysema
Tx for _____
* Inhaled long-acting bronchodilators
* Corticosteroids if asthma also present and/or more reversible
obstruction
* Smoking cessation is only intervention that actually lessens
disease progression
COPD
