wk 2 COPD ppt/1

Question 1

what can cause emphysema

2

Answer 1

1. cigs

2. steroids

Question 2

COPD leading cause of death

Answer 2

3rd

Question 3

RF - hypercapnic

Answer 3

PaCO2 > 45 mmHg and pH < 7.35

Question 4

continual bronchial irritation and inflammation leads to

Answer 4

CB

Question 5

COPD - keep sats where

Answer 5

> 90%

Question 6

one of the first signs of hypoxemia

Answer 6

restlessness

Question 7

rhonchi and coughing is to

Answer 7

CB

Question 8

50/50 club

Answer 8

CO2 and bicarb will be in the 50s

Question 9

ABGs of COPD patients

Answer 9

pH - normal
CO2 - high
bicarb - high

Question 10

RF - hypoxemic

Answer 10

Pa02 < 60 mmHG on 60% oxygen

Question 11

COPD blood vessels

Answer 11

thicken

Question 12

doesn’t get SOB while eating

Answer 12

CB

Question 13

what is a1-trypsin

Answer 13

substance that protects the lungs and liver from enzyme breakdown

Question 14

COPD alveoli surface area

Answer 14

diminishes

Question 15

hypercapnic RF aka

Answer 15

ventilatory failure

Question 16

a1-antitrypsin deficiency leads to a

Answer 16

breakdown of elastin in CT of lungs

Question 17

Right HF is common in emphysema why

Answer 17

from capillary beds getting thick

Question 18

right HF emphysema + pulmonary HTN leads to

5

Answer 18

1. edema in ankles and legs
2. edema in liver
3. JVD
4. hepatosplenomegaly
5. distended stomach

Question 19

hypoxemic RF aka

Answer 19

oxygenation failure; low oxygen levels

Question 20

two types of respiratory failure

Answer 20

1. hypoxemic

2. hypercapnic

Question 21

emphysema - why the weight loss?

3

Answer 21

1. sores in mouth
2. don’t taste as much
3. too short of breath to eat

Question 22

obstructive pulmonary disorders stem from

Answer 22

increased resistance to airflow

Question 23

COPD - if CO2 retainer, what is oxygen sat usually kept at

Answer 23

about 88%

Question 24

COPD primary process is

Answer 24

inflammation; inhalation of noxious particles

Question 25

enlarged air space is to

Answer 25

emphysema

Question 26

it can be classified as CB when?

Answer 26

cough and sputum production for at least three months in two consecutive years

Question 27

diminished lung sounds is to

Answer 27

emphysema

Question 28

CB s/s

4

Answer 28

1. bronchial edema
2. hypersecretion of mucus
3. chronic cough
4. bronchospasm

Question 29

mucous production is to

Answer 29

CB

Question 30

bronchoconstriction is to

Answer 30

asthma

Question 31

classified as obstructive pulmonary disease

Answer 31

asthma

Question 32

COPD bronchioles

Answer 32

tend to collapse

Question 33

gene for emphysema

Answer 33

a1-antitrypsin deficiency - 72% that have a def in this die from emphysema

Question 34

COPD - they breath off of what

Answer 34

hypoxic drive

Question 35

emphysema s/s

2

Answer 35

1. destruction of alveolar septa

2. airway instability