Interstitial (Restrictive) Lung Disease

Question 1

interstitial lung disease

Answer 1

large group of diseases that cause scarring (fibrosis) of the lungs

Question 2

scarring of the lungs causes

Answer 2

stiffness and thickening of alveoli which makes it difficult to get oxygen to the bloodstream

Question 3

physiological mechanisms associated with ILD

Answer 3

• Increased resting heart rate
• Pulmonary hypertension
• Impaired gas exchange
• Increase in pulmonary vascular resistance due to pulmonary vasoconstriction
• Increased lung elasticity, which resists lung expansion

Question 4

increase the risk of or cause ILDs

Answer 4

• Genetics
• Certain medications or medical treatments such as radiation or chemotherapy
• Exposure to hazardous materials such as asbestosis and hypersensitivity pneumonitis
• People with autoimmune diseases such as sarcoidosis or rheumatoid arthritis
• Smoking can not only cause ILDs, but can make the condition much worse

Question 5

who can get ILDs

Answer 5

anyone even children

Question 6

irreversible and gets worse over time.

Answer 6

lung damage from IDLs

Question 7

Symptoms of ILD

Answer 7

Shortness of breath
Dry cough
Chest discomfort
Fatigue

Question 8

Objectives of medical management

Answer 8

Reduce the inflammatory response
Decrease pulmonary hypertension
Increase arterial oxygenation

Question 9

drug therapy

Answer 9

• Anti-­inflammatory drugs: cortico­steroids, and immunosuppressive drugs
• Oxy­gen therapy
• Vasodilators such as nifedipine, hydralazine, and amri-none

Question 10

Nifedipine increased

Answer 10

car­diac output by augmenting stroke volume. At the same time, both sys­temic and pulmonary resistances and pressures were lowered

Question 11

patient prognosis

Answer 11

• contingent upon severity of condition and cause of ILD

- scarring happens in lungs, it usually can’t be reversed

Question 12

mild case treatment

Answer 12

to focus on keeping quality of life as high as possible as long as possible

Question 13

severe cases treatment

Answer 13

long term treatment

Question 14

Cardiopulmonary test parameters help determine

Answer 14

severity and prognosis by medical doctors, although it turns out, there are better methods for determining long-term outcomes ular treatments and therapy for the rest of their lives to help manage their symptoms.

Question 15

Special Considerations and Precautions

Answer 15

• COVID-19
• For some of these patients, exercise produces profound hypoxia
• cardiopulmonary testing

Question 16

cardiopulmonary testing

Answer 16

determine a patient’s cardiopulmonary limitations/restriction and is critical to determining best rehabilitative programs

Question 17

PT considerations

Answer 17

• exercise training
• 6MWT
• aerobic exercise
• ## resistance training