COPD Flashcards
steriod use
think bone health calcium and vitmain D
Asthma
intermittent inflamation of the bronchioles
results from interaction of envirnmental exposures and genetics
COPD
progressive lung disorder charaterized by obstruction of airways and inflamation two kinds
Emphasyema
destruction of lung aveoli lack of elastic recoil symptoms dypena and more caxechia
chronic bronchotitis
cough mucus with more inflamation of bronchi pul HTN right HF
Causes of COPD
tabacco smoking
envirnmental air polution
globally use of biomass fuels for cooking
genetics factors
Symptoms
dyspena hypoxemia pul HTN cor pulmanae
Nutrion assesment for adults COPD
energy intake, body wt, energy needs, serum 25-oh vit D, serum levels ,COPD flares or exacerbation
Assess Energy intake
imporvment in dyspean scores with higher intake
assess body wt
BMI 25-29.99 lower motality higher body weight associated with improved lung function and reduced declines in lung function
assess energy needs
use 30 kcal/kg adjust as needed
assess vit D status
if under 10 supplement 11-29 considered supplementation
20 adequete for bone health
assess flares
if 2 or mroe a year considered frequent
which are episodes of increased respitory sympotms dyspena cough and sputum production
dyspena
SOB
Provide MNT
improves body wt status QOL exercise capcity and body composition
monitor eval energy inake and body weight for energy needs
overtime is the most meaningful expression of enrgy requirment for COPD
Tuberculosis (consumption)
malnutrion is common
Izoniazid
Izoniazid
depletes pyridoxine also knwi as B6
give 1 hour before meal or 2 hrs after meal( food absoprtion lowers) interfers with vit D metabolism
chylothorax
plerual effusion caused by the disruption or obstruction pf thoratic duct leakage of chyle into pleural space
chyle
lympatic fluid pf intersitial origin
How MCT supplement are absorbed
go straight to your liver and can b used as instant energy source unlike LCT
