Emphysema - Slocum Flashcards
1
Q
Defined by _
A
alveolar wall destruction and dilation that presents as due to smoking or due to ATT deficiency
2
Q
Referred to as pink puffer due to _
A
compensatory hyperventilation necessary to normalize blood gas
3
Q
Signs and symptoms
A
- mild dyspnea
- hyperventilatin
- mild cough
- pinkish skin coloration
- fatigue
4
Q
Physical exam findigns
A
- Late hypercarbia/hypoxia
- barrel cheste
- thin, wasted appearance
- pursed lip
- decreaed heart and breath sounds
- prolonged expiratory phase
- end expiratory wheezing
- scattered rhonchi
- digital clubbing
5
Q
ABG findings
A
- Hypoxemia: decreased PO2
- Acute or chronic respiratory acidosis: increased CO2
6
Q
CXR findings
A
- decreased lung markings with flattened diaphragm
- hyperinflated lungs with bullae and/or blebs
- thin appearing heart and mediastinum
- barrel chest
7
Q
PFT findings
A
- decreased FEV1/FVC
- normal or decrased FVC
- normal or increaed TLC
- decreased DLCO
8
Q
Treatment options
A
O2, beta agonists, anticholinergics, inahled/IV steroids, abx
