copd Flashcards

1
Q

in copd what causes increased airglow resisitance

A

inflammation and fibrosis

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2
Q

what lung disease is characterised by the lungs loosing thier elasticity and expansion of air cavities

A

emphysema

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3
Q

what changes are seen in the copd pateint

A

mucus hypersecretion, airflow restriction,
hyperinflation, gas exchange abnormalities and corpulmonale

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4
Q

in copd where does the systemic inflammation develop

A

lungs and airways

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5
Q

what substance is incraesed in copd with an increase in attacks

A

oxidants

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6
Q

what causes protease and antiprotease imbalance

A

oxidants

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7
Q

functions of the respiratory mucsles in copd pateints

A

increase respiratory works
electrolyte imbalance
mechanical disadvantage
loss of muscle mass
distrupt gas exchange
muscle strength decreases

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8
Q

what happens in the exacerbation periods

A

inflammation is greater
number of neutrophils in the airway increases
oxidative stress is more
inflammation increases in the upper respiratory tract

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9
Q

symptoms of copd

A

dyspnea..this is a main symptom
cough….this is usually the first symptom
sputum
wheezing or chest tightness

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10
Q

what can occur during coughing due to the rapid increase in the intrathoracic pressure

A

syncope

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11
Q

spirometric function test is divided into

A

forced vital capacity
exhaled volume in 1st of second
fevi-fvv

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12
Q

according to the gold abcd staging what does each of the letters respresent

A

A…LOW RISK LOW SYMPTOMS
B..LOW RISK EXCESS SYMPTOMS
C…HIGH RISK LOW SYMPTOMS
D…HIGH RISK EXCESS SYMPTOMS

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13
Q

what can be used to assess a patient’s
arterial oxygen saturation and need for
complementary oxygen therapy.

A

pulse oxymetry

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14
Q

what are the therapies involved in the copd treatment

A

prevention of disease development and progression
Pharmacological Approaches
Pulmonary Rehabilitation
Surgical Approaches
Long-Term Home Oxygen Therapy, Ventilator Support
Palliative Care

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15
Q

what vaccina are recommended for copd

A

influenza
pneumococcal

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16
Q

some pharmacological treatment include

A

bronchodilators
antimuscarinic drugs
inhaled corticosteriods

17
Q

what is the effect in loss of lean body mass for copd

A

it improves physical activity, mortality and quality of life.

18
Q

some surgical approaches in copd

A

lung volume reduction surgery
bullectomy
transplantation
bronchoscopic interventions