COPD is a progressive lung disease characterized by limited airflow. The two main types are emphysema, which causes damage to lung tissue and air sacs, and chronic bronchitis, which involves long-term inflammation of the airways. Symptoms include chronic cough, excess sputum production, shortness of breath with exertion or at rest, weight loss, and a barrel-shaped chest. The primary causes are smoking, occupational exposures, and genetic factors. Prevention focuses on smoking cessation. Complications can include respiratory failure and insufficiency requiring ventilator support.
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Chronic Obstructive Pulmonary Disease
COPD is a progressive lung disease characterized by limited airflow. The two main types are emphysema, which causes damage to lung tissue and air sacs, and chronic bronchitis, which involves long-term inflammation of the airways. Symptoms include chronic cough, excess sputum production, shortness of breath with exertion or at rest, weight loss, and a barrel-shaped chest. The primary causes are smoking, occupational exposures, and genetic factors. Prevention focuses on smoking cessation. Complications can include respiratory failure and insufficiency requiring ventilator support.
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COPD
Chronic Obstructive Pulmonary
Disease DEFINITION Is a disease state characterized by airflow limitation that is not fully reversible. Limited airflow; Inability to fully exhale. Cases vary among people from mild to severe……managed with lifestyle changes and medications TYPES OF COPD Emphysema “pink puffers” - is a long-term, progressive disease of the lungs that primarily causes shortness of breath due to over-inflation of the alveoli (air sacs in the lung). In people with emphysema, the lung tissue involved in exchange of gases (oxygen and carbon dioxide) is impaired or destroyed.
Chronic bronchitis “blue bloaters” - The inflamed
bronchial tubes produce a lot of mucus. This leads to coughing and difficulty breathing. Cigarette smoking is the most common cause. Breathing in air pollution, fumes, or dust over a long period of time may also cause it. BLUE BLOATERS is due to cyanosis from hypoxia. And bloating from edema and increase lung volume. The bloating is from the effects of the lung disease on the heart which causes right-sided heart failure.
PINK PUFFERS the name comes from
hyperventilation (puffing to breath) and pink complexion (they maintain a relatively normal oxygen level due to rapid breathing) rather than cyanosis as in chronic bronchitis. CAUSES Smoking Occupational exposure. Prolonged and intense exposure to occupational dust and chemicals, indoor air pollution, and outdoor air pollution all contribute to the development of COPD. Genetic abnormalities. The well- documented genetic risk factor is a deficiency of alpha1- antitrypsin, an enzyme inhibitor that protects the lung parenchyma from injury. Clinical Manifestations Chronic cough. Chronic cough is one of the primary symptoms of COPD. Sputum production. There is a hyperstimulation of the goblet cells and the mucus-secreting gland leading to overproduction of sputum. Dyspnea on exertion. Dyspnea is usually progressive, persistent, and worsens with exercise. Dyspnea at rest. As COPD progress, dyspnea at rest may occur. Weight loss. Dyspnea interferes with eating and the work of breathing is energy depleting. Barrel chest. In patients with emphysema, barrel chest thorax configuration results from a more fixed position of the ribs in the inspiratory position and from loss of elasticity. Prevention Prevention of COPD is never impossible. Discipline and consistency are the keys to achieving freedom from chronic pulmonary diseases. Smoking cessation. This is the single most cost- effective intervention to reduce the risk of developing COPD and to stop its progression. Healthcare providers should promote cessation by explaining the risks of smoking and personalizing the “at-risk” message to the patient. Complications There are two major life-threatening complications of COPD: respiratory insufficiency and failure. Respiratory failure. The acuity and the onset of respiratory failure depend on baseline pulmonary function, pulse oximetry or arterial blood gas values, comorbid conditions, and the severity of other complications of COPD. Respiratory insufficiency. This can be acute or chronic, and may necessitate ventilator support until other acute complications can be treated.