Respiratory Disorders Flashcards

1
Q

Stage 1

A

FEV1 is greater than or equal to 80%
Minimal impact on their life
Will likely not seek help at this point

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2
Q

Stage 2

A

FEV1 is 50-79% of predicted normal
Short of breath to and from car
Might seek out help in this stage

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3
Q

Stage 3

A

FEV1 is 30-49%
More severe shortness of breath
More sedentary
Activities and daily living are limited

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4
Q

Stage 4

A

FEV1 is 30%
Sedentary
Requires a lot of care
Supplemental oxygen

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5
Q

COPD is ___ leading cause of death

A

3rd

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6
Q

Prevelance of COPD by age

A

More prevalent as you age

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7
Q

COPD =

A

Chronic Bronchitis

Emphysema

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8
Q

COPD prevalence by disease

A

Chronic Bronchitis = leader

Emphysema = later in life

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9
Q

Causes of COPD

A
  1. Smoking
  2. Occupational exposure
  3. City living - pollution
  4. Childhood respiratory infections
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10
Q

Chronic Bronchitis

A

Cough with sputum production
Most days, during at least three consecutive months, in at least 2 consecutive years
- people attribute to changes in weather, or allergies

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11
Q

Chronic Bronchitis lung compared to normal

A

Excess mucus stuck n middle there

Damages tube in alveoli

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12
Q

Chronic Bronchitis higher prevelance for M or F

A

Female

Maybe because they live longer

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13
Q

Chronic Bronchitis and age prevelance

A

45-65 years

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14
Q

Chronic Bronchitis Ethnicity prevalence

A

Non hispanic - White

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15
Q

Emphysema Sex Prevalence

A

Male

More of the ones smoking

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16
Q

Emphysema Age prevalence

A

65-75

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17
Q

Emphysema Ethnicity Prevalence

A

Non Hispanic - White

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18
Q

Chronic Bronchitis Risk Factors

A
Tobacco
Recurrent Infections
Genetics
Inhalation of irritants
Idiopathic (less than 5%)
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19
Q

Presentation of chronic bronchitis

A

Blue Bloater

20
Q

Define Emphysema

A

Condition of lungs which is characterized by abnormal, permanent enlargement of the airspace distal to the terminal bronchiole
Accompanied by obstruction of the bronchiole wall without obvious fibrosis

21
Q

Emphysema Prevalence by Age

A

65 years and older

22
Q

Emphysema Prevalence by Ethnicity

A

Non-Hispanic White

They could afford the cigarettes

23
Q

Emphysema Risk Factors

A

Smoking
Alpha 1 deficiency (not having protection)
Recurrent infections
Occupational/environmental exposures

24
Q

Clinical Presentation of Emphysema

A

Pink Puffer

25
Q

Typical Treatments for Emphysema

A
Smoking Cessation
Medications
- bronchodilators
- corticosteroids
- antibiotics
- expectorants
26
Q

Issues with COPD

A

Exercise tolerance is decreased
52% of people with COPD fear of SOB will limit their activity level
Temp and altitude impacts

27
Q

Define Asthma

A

Disease characterized by an increase in responsiveness of trachea and bronchi to various stimuli
Manifests by narrowing airways

28
Q

Asthma M vs F

A

Females are 34%more likely

29
Q

Asthma attack prevalence among children and adults

A

More in children - likely because of exercise induced asthma or not knowing what allergic to

30
Q

Relationship btw estrogen and asthma episodes

A

Estrogen changes with puberty and when estrogen is at its lowest, when F have attacks

31
Q

Relationship btw obesity and asthma episodes

A

Has a lot to do with cortisol and obesity

32
Q

Mild stage of asthma

A

symptoms reverse with cessation of activity

symptoms less than 2x/week

33
Q

Moderate stage of asthma

A

audible wheezing
use of accessory muscles
symptoms require short acting inhalant and long term drug therapy (more than 2x/wk)

34
Q

Severe stage of asthma

A

Cyanosis
Tachypnea after cessation of activity
Activity is limiting
Occurs daily

35
Q

Exercise Induced Asthma

A
Develops 5-15 minutes into the activity
Self limiting (30-60 min) after activity 
Coughing --> wheezing --> chest tightness --> SOB
36
Q

Highest age for CB

Emphysema

A

45-65

Above 65

37
Q

Asthma M or F

A

Female

38
Q

Sputum occurs with

A

CB

39
Q

Change in chest diameter with

A

Emphysema

40
Q

Pneumoconiosis

A

Deposition and retention of inorganic particles in the lung

Lung tissues react and fibrosis occurs

41
Q

Factors in development of Pneumoconiosis

A

Amount of particulate retained in lungs
Size and shape of the particles
Chemical nature of the particulate
Individual susceptibility

42
Q

Characteristics of Pneumoconiosis

A

Insidious onset - just appears one day
Long latency - can happen 10 years after inhale it
Irreversible - cant get rid of fibrosis
Progressive course - once symp start, get worse
No effective treatment

43
Q

Hypersensitivity Pneumoconiosis

A

Syndrome caused by sensitization to and repeated inhalation of organic antigen from dust

44
Q

Sources for hyper Pneumo

A

Dairy and grain (Mold)
Animal dander
Wood
Water sources (humidifier)

45
Q

Hyper Pneumo characterisitcs

A

More about repeated exposure than the size and shape
Only 15% of people exposed will actually develop a problem
More common in non smokers
Noth immune and cell mediated response
Acute onset
Lasts 12 hours
Symp wth each exposure - get more severe

46
Q

Productive cough is indicative of

A

Chronic Bronchitis

47
Q

Fear of SOB limits active exercise participation in more than 50% of patients with COPD T or F

A

True