Interstitial Lung Disease Flashcards
1
Q
Pathophysiology
A
group of conditions that affect the interstitium (lung tissue between the alveolar epithelium and the capillary endothelium) of the lungs
excessive healing - inflammatory response to injury leads to fibrosis and interstitial thickening
possible destruction of the capillary bed
resultant pulmonary HTN right sided heart failure
deconditioning results in peripheral muscle dysfunction
2
Q
Clinical Implications
A
reduced lung volumes impaired gas exchange airflow limitation dyspnoea reduced exercise tolerance musculoskeletal dysfunction
3
Q
Clinical Features
A
dyspnoea with exertion dry, persistent cough fine inspiratory crackles on auscultation possible finger clubbing spirometry - has restrictive pattern very low SpO2
4
Q
Medical Management
A
supportive care (not much evidence for inhaled therapies)
- pulmonary rehab
- O2 therapy
- lung transplant
5
Q
Physio Management
A
- pulmonary rehab
- optimise conditions for transplant
- NIV - most likely patients won’t be able to handle the back pressure
- assessment to guide medical management
- management of breathlessness
