Copd Flashcards
Chronic bronchitis
What is it
S/s
Excessive mucous cough last 3 months in 2 consecutive years
Cyonotic fluid edema expert suspend dusky or bluish pale
Right sides heart failure
O2 can’t passs and co2 can’t escape
Enlargement of right ventricle incr pulmonary blood pressure
Bronchiectasis
Cause
S/s
Pulmonary infection. Obstruction, aspiration
S/S- cough purlent sputum clubbed finger wheezes
Emphysema
Abnormal distension of airspace
Chronic bronchitis
S/s
Dusky color Hypoxia sputum Acidosis Hypercapnia Tachypnea pulmonale
Chronic bronchitis labs
Co2- 45-60
Pco2 50-60
Sa o2 > 90
Hgb> 18
Emphysema
Co2 65-70
Pco2 35-40
Sa o2 - >90
H&h normal
Expectorant drugs
2
What they do
Robitussin and mucinex- guaifenesis
Helps remove secretion
Mucolytic
Thins secretion
1
Acetylcysteine (mucomyst)
Antiussive
Cough suppressant - codeine
Steroids
2 types
Systemic steroids- decrease inflammation edema
Inhaled- PO or iv do t have systemic
Surgery bronchiectasis
Lobarectomy
Segmental resection
Pneumonectomy
Surgery emphysema
Transplant
Lung volume reduction
Bullectomy
Thermal ablation