Common Respiratory Conditions Flashcards
What is respiratory failure?
A condition where your blood doesn’t have enough oxygen or too much carbon dioxide
What are the two types of respiratory failure?
Type 1- pO2 <8kPa, pCO2 <6kPa
Type 2- pO2 <8kPa, pCO2 >6kPa
What is a pulmonary embolism?
Formation of a clot in a blood vessel that breaks loose and is carried by the blood stream to plug another vessel
What are the risk factors for a pulmonary embolism?
Surgery Obstetrics Lower limb problems Malignancy Reduced mobility Thrombotic disorders Previous venous thromboembolism
What is the treatment for pulmonary embolism?
Thrombosis is Heparin Warfarin Direct oral anticoagulants e.g. rivaroxaban Embolectomy
What is COPD?
An air flow obstruction- usually progressive, not fully reversible
Usually caused by smoking
Defined as forced expiratory volume in one second (FEV1)= FEV1<80% and forced vital capacity (FVC)= FVC<0.7
How is COPD diagnosed?
Chest x-ray
Blood test
Spirometer
How is COPD managed?
Pharmacotherapy for COPD is used to decrease symptoms and/or complications Smoking cessation Exercise Diet Vaccinations Pulmonary rehabilitation
What is the treatment for COPD?
Short/long acting bronchodilators- beta-agonists, anti-cholinergics Inhaled steroids/combined preparations Theophyllines Oral steroids Oxygen
What are some short-acting bronchodilators?
Salbutamol
Terbutaline
Ipratropium bromide
What do short-acting bronchodilators do?
Increase airway diameter by action on smooth muscles
Fast action- last 4 hours
Ipratrpium bromide- onset 15 mins, lasts up to 5 hours
What are some side effects of bronchodilators?
Tachycardia
Tremor
Dry mouth
What is an example of a long-acting bronchodilator?
Tiotropium bromide/spiriva
- long acting ani-cholinergic
- improves lung function, dyspnoea
- reduced exacerbations and rescue medications
What are some examples of inhaled steroids?
Generally use combined preparations:
- seretide (Fluticasone/Salmeterol)
- symbicort (Budesonise/Formoterol)
What are the components of pulmonary rehabilitation?
Physical exercise
Dietetics assessment
Disease education
Psychological and social interventions