COPD Flashcards

1
Q

What three conditions make up COPD?

A

Bronchitis, emphysema and chronic asthma

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2
Q

What does COPD stand for?

A

Chronic obstructive pulmonary disease

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3
Q

Define COPD

A

Airflow obstruction that is progressive in severity and not fully reversible but doesn’t make marled changes over several months

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4
Q

What is systemic inflammation and it’s causes? (7 causes)

A

Not just the lungs are affected by COPD, also causes weight loss, cancer, skeletal muscle dysfunction, cardiovascular disease, osteoporosis, depression and fatigue

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5
Q

How is it diagnosed?

A

Spirometry

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6
Q

What is the general pathology cycle of COPD? (6 stages)

A
  1. Excess mucus produced
  2. Mucus is thicker and stickier
  3. Cilia are unable to beat (smoking paralyses them)
  4. Dust and bacteria are trapped in the airways
  5. Mucus builds creating perfect environment for bacteria
  6. Infection can develop
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7
Q

What is the pathology of bronchitis?

A

It’s a chronic disease where bronchi become inflamed causing mucus to be produced making airways narrowed

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8
Q

What are the symptoms of bronchitis?

A

Difficulty clearing sputum
Wheezing especially after coughing
Feeling unwell, tired and unable to cough

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9
Q

Describe the pathology of emphysema

A

Inflammation of the alveoli causing them to lose their elasticity and ability to fill and contract properly

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10
Q

What happens to gaseous exchange when the alveoli rupture in emphysema patients?

A

It is decreased to the reduced surface area

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11
Q

Define asthma

A

An episodic increase in airway obstruction caused by varying stimuli but is reversible

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12
Q

What stimulates asthma?

A

Allergies, dust, pollen, exercise

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13
Q

What three things are used to reverse asthma attacks?

A

Inhalers, antibiotics and steroids

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14
Q

State three symptoms of asthma

A

Wheezing, breathlessness and tightness

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15
Q

What causes chronic asthma and therefore COPD?

A

Ineffective treatment of asthma causing inflammation and scarring

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16
Q

What are the causes of COPD?

A

Smoking
Occupational exposure
Genetic link to deficiency of Alpha 1 Antitrypsin
Social deprivation

17
Q

What are the four methods of diagnosis?

A

Detailed patient history
Clinical signs
Spirometry
CXR

18
Q

What are five treatments?

A
Education (smoking)
Inhalers
Meds e.g. antibiotics, steroids, mucolytics
Flu and pnemonia vaccinations
Pulmonary rehab