COPD

Question 1

What 2 conditions are typically seen in COPD?

Answer 1

Chronic bronchitis
Emphysema

Question 2

What are COPD patients main drive to breath?

Answer 2

decreased oxygen

Question 3

What is the main risk factor & cause of COPD?

Answer 3

smoking, including secondhand smoke

Question 4

What are the 3 causes of COPD?

Answer 4

Smoking
Air Pollution
Alpha 1 antitrpysin

Question 5

What is alpha 1 antitrypsin deficiency?

Answer 5

genetic disorder
not having enough protein

Question 6

What is the oxygen range that COPD patients need to stay between?

Answer 6

88-92%

Question 7

What are the 3 steps in chest PT in order? What is given before doing chest PT?

Answer 7

Postural drainage, Percussion, & Vibration
administering a bronchodilator or neb therapy

Question 8

What are the 5 complications a patient can have when they have COPD?

Answer 8

Respiratory infections
Pulmonary Hypertension
Right-sided HF
Anxiety & Depression

Question 9

What are 3 things we tell patients to avoid who have COPD?

Answer 9

Avoid exposure to irritants
Avoid smoking
Avoid cough suppressants & sedatives

Question 10

What are 2 types of breathing exercises we can educate patients with COPD on?

Answer 10

Abdominal breathing
Purse-lip breathing

Question 11

What does huff coughing consist of?

Answer 11

inhaling while leaning forward & exhaling with a sharp huff sound to keep airways open

Question 12

What 5 medications are used for patients with COPD?

Answer 12

Immunizations
Antibiotics
Bronchodilators
Corticosteroids
Statins

Question 13

What are the 3 common symptoms of COPD?

Answer 13

Dyspnea
chronic cough with mucus production
wheezing

Question 14

How does COPD affect our body?

Answer 14

obstruction of an airway with bronchoconstriction & inflammation

Question 15

What 3 words can describe COPD?

Answer 15

chronic
progressive
incurable

Question 16

For vibrations, what device do patients use to loosen secretions?

Answer 16

acapella device by exhaling

Question 17

For an incentive spirometer, are you inhaling or exhaling?

Answer 17

Inhaling

Question 18

If a patient is hypoxemic, which 2 oxygen delivery systems would be best for the patient?

Answer 18

nasal cannula or venturi mask

Question 19

If a patient is hypercapnic, which oxygen delivery system would be the best to give the patient?

Answer 19

Face mask (BIPAP/CPAP)

Question 20

How is emphysema described? What is the one symptom we relate to emphysema?

Answer 20

destruction of alveoli, reducing surface area & trapping air in the lungs
chronic dyspnea

Question 21

How is chronic bronchitis described? What is the one symptom we relate to chronic bronchitis?

Answer 21

bronchial tubes become inflamed & narrowed, producing excess mucus
cough

Question 22

What would we see in the chest xray for a patient with COPD?

Answer 22

Increased amount of secretion

Question 23

What would we see in their hemoglobin levels for a patient with COPD?

Answer 23

increased hemoglobin

Question 24

What would we see in ABGs for a patient with COPD?

Answer 24

increased CO2

Question 25

What would we see in the spirometry for a patient with COPD?

Answer 25

increase in residual air

Question 26

What would we see in the VQ scan for a patient with COPD?

Answer 26

decreased ventilation with normal perfusion in the lungs

Question 27

What do bronchodilators do?

Answer 27

relaxes the airways

Question 28

What do corticosteroids & statins do?

Answer 28

decreases inflammation

Question 29

What do antibiotics do for patients with COPD?

Answer 29

treats the bacterial infection

Question 30

What is “barrel chest” and what causes it?

Answer 30

overinflated lungs cause ribs to expand, leading to a barrel-shaped chest due to trapped CO2 and difficulty exhaling

Question 31

What are the four signs of COPD exacerbation?

Answer 31

SOB
Mucus
chest tightness
wheezes/crackles