Chronic obstructive pulmonary disease (COPD) Flashcards
what is COPD?
-acute, recurrent & chronic obstructiion of airways
d/t chronic inflm of airway, parenchyma (alveolar tissuse) & vasculature (capillaries surronding alveoli)
with COPD the disease is ________ but the obstruction is not
chronic
what is the parenchyma
alveolar tissue
what are the two diseases that are part of COPD
- chronic bronchitis
- emphysema
COPD may also co-exist with
asthma
what is compliance?
ease at with which we breathe in and out
if there is more competent tissue in lungs more elasticity & more compliance
what is the etilogy and risks for copd?
- smoking (80%-90%)
- recurrent resp infections (not a common cause)
- ageing
- genetic deficiency of a1 antitrypsin
what is the most common cause of copd causing (80-90%)
smoking
what is a1 anti-trypsin
tyrpsin is an enzyme that breaks down proteins, anti therefor inhibits this enzyme
what is the problem with cigarette smoke and why is it so damaging?
cigarette smoke contains a variety of irritants, an cause production of too much mucus from irritants, impedes cillliary function. irritants cause coughing–to much coughing is injurious. Irritants are going to cause inflm and tissue damage.
what are the three mechanisms of airflow obstruction in copd?
- obstruction of airway caused by hypertrophy of bronchial wall
- inflammation & hypersecretion of mucus causing obstruction
- loss of elastic fibres that hold airway open causing obstruction
what is chronic bronchitis
Inflammation causing obstruction of airway
what is chronic bronchitis due to
smoking and recurrent infection
how does chronic bronchitis present
chronic productive cough
has to be more than 3 months a yr in 2 consecutive years
how does the chronic bronchitis chronic productive cough have to present
has to last for more than 3 months in a yr 2 consecutive years