Lung disease Flashcards

1
Q

what is the mortality rate of respiratory disease in the UK? what does it cause more deaths than?

A
  • respiratory disease is a major killer
  • 1 in 5 deaths
  • more people die from respiratory disease than IHD (ischemic heart disease)
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2
Q

what is the rising percentage of deaths from occupational lung disease?

A
  • 15% rise between 1998 and 2004
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3
Q

what is associated with respiratory disease?

A
  • social inequalities associated
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4
Q

is lung cancer a common type of cancer? what does it cause more deaths than?

A
  • 2nd most common cancer in men and women
  • causes more deaths than breast cancer in women
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5
Q

what is the survival rate of people with lung cancer?

A
  • low survival rate
  • 5 year survival 6 to 7%
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6
Q

how many sickness absence days a year does lung disease contribute to?

A
  • leads to 25 million certified sickness absence days a year
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7
Q

how much does lung disease in the UK cost a year?

A
  • costs £11 billion a year
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8
Q

how much of the economic burden falls directly onto the NHS/ patients?

A
  • £9.9 billion falls directly on the NHS and patients in private costs
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9
Q

how much economic burden falls on the wider economy? why?

A
  • £1.2 billion falls on the wider economy through workdays lost
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10
Q

is lung disease a costly disease?

A
  • lung disease is the 4th most costly disease area to the UK
  • after mental health conditions, MSK diseases and heart diseases
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11
Q

what two respiratory conditions cost the most?

A
  • COPD= £1.9billion each year
  • asthma = £3 billion
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12
Q

what is used to document breathlessness assessments?

A
  • standardise terminology used to document quantitative and qualitative assessment of breathlessness
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13
Q

what is SOBOE?

A
  • shortness of breath on exertion
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14
Q

what is SOBAR?

A
  • shortness of breath at rest
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15
Q

what is dyspnoea?

A
  • subjective sensation
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16
Q

what is orthopnoea?

A
  • when lying flat
17
Q

what is tachypnoea?

A
  • abnormally rapid breathing
18
Q

what is hyperpnoea?

A
  • increased depth and rate
19
Q

what is hyperventilation?

A
  • rapid breathing
20
Q

what is paroxysmal nocturnal dyspnoea?

A
  • episodes of SOB that occurs during sleep, causing the person to wake up gasping for air
21
Q

what are the 8 causes of breathlessness?

A
  • non cardio- respiratory
  • cardiac
  • respiratory
  • parenchyma
  • pulmonary circulatory problems
  • pleura
  • musculoskeletal
  • neuromuscular
22
Q

what are the non cardio-respiratory causes of breathlessness?

A
  • anaemia
  • metabolic acidosis
  • obesity
  • psychogenic
  • neurogenic origins
23
Q

what are the cardiac causes of breathlessness?

A
  • LVF (left ventricle failure)
  • mitral valve disease
  • cardiomyopathy
  • constrictive pericarditis
  • pericardial effusion
24
Q

what are the respiratory airway problems that cause breathlessness?

A
  • tumour
  • foreign body
  • asthma
  • COPD
  • bronchiectasis
  • cystic fibrosis
  • lung cancer
  • bronchiolitis
25
what are the parenchyma causes of breathlessness?
- fibrosis alveolitis - tuberculosis - sarcoidosis - pneumonia - tumour
26
what are the pulmonary circulatory problems that cause breathlessness?
- PE (pulmonary embolism) - pulmonary vasculitis - pulmonary hypertension
27
what are the pleura causes of breathlessness?
- pleural effusion - pneumothorax - pleural fibrosis
28
what are the musculoskeletal causes of breathlessness?
- kyphoscoliosis - ankylosing spondylitis
29
what are the neuromuscular causes of breathlessness?
- muscular dystrophy - neuropathies - guillain- barre syndrome
30
how do you measure breathlessness?
- MRC scale - 0 to 10
31
what do the numbers on the MRC scale stand for?
0= nothing at all 10= maximal
32
what does restrictive lung disease reduce?
- reduces lung elasticity - reduces volumes and capacity - reduces pulmonary function secondary to the size of chest cavity/ lungs
33
what is impaired in restrictive lung disease?
- lungs' ability to expand is impaired
34
what does restrictive lung disease increase?
- increases work of breathing
35
what happens to the airways in obstructive lung disease?
- airways are narrowed
36
what are the three things that happen to the airways in asthma?
- airways become inflamed and sensitive - airways may react strongly to irritants - airways become narrower, hence airflow is resisted and reduced
37
what are the symptoms of asthma?
- wheezing - SOB - chest tightness - coughing
38
what are the asthma symptoms described as? when are they worse and can they be provoked?
- variable and intermittent - worse at night - provoked by triggers