COPD - overview Flashcards
The 2 primary forms of chronic obstructive pulmonary diseases (COPD) include _ and _
emphysema and chronic bronchitis
Chronic obstructive pulmonary disease are _ and _, often ending in _ and _
progressive, disabling
ending in resp failure and death
When do symptoms usually appear
when disease is advanced
*missed opportunity for 2ndary prevention
What is chronic bronchitis
chronic inflammation of the bronchi leading to excessive mucus production and chronic productive cough
What is chronic bronchitis characterized by?
heavy sputum production on most days in last 3 months or more for longer than 2 consecutive years
periods of intense s/s and periods of improvement
What are 3 important ddx to r/o?
TB
CA
HF
What is the chief characteristic of chronic bronchitis
sputum production
Why are people with chronic bronchitis described as blue bloaters
they’re often cyanotic but not out of breath until later in disease process
What tends to cause distal edema nd venous statis in chronic bronchitis patients?
R sided HF
What causes emphysema
destruction of alveoli leading to reduced surface area for gas exchange
What do the airspaces on a CXR of emphysema look like?
large, abnormally shapedand disorderly in pattern
What is the chief symptom of emphysema
dyspnea
Why are people with emphysema called pink puffers
sacropenic (loss muscle mass)
barrel chest
SOB
How do people with emphysema usually breathe
pursed lip breathing
