COPD is airflow limitation that is not fully reversible
t/f - True
__________ is characterized by reversible airflow obstruction -
... [Show More] Asthma
Destruction and permanent enlargement of airspaces distal to terminal bronchioles characterized by destruction of alveoli without obvious fibrosis and hyperinflation/air trapping is known as:
A. COPD
B. Asthma
C. Chronic Bronchitis
D. Emphysema - D. Emphysema
Sputum production daily for 3 or more months for 2 or more years is characteristic of _________________ - Chronic Bronchitis
Smoking> 30 years
Chronic coughing
excessive sputum production
4th and 5th decade of life
Genetic component
Are characteristics of what? - Typical COPD patient
Stage 1: Mild
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - A
Stage 2: moderate
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - B
Stage 3: severe
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - C
Stage 4: very severe
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - D
COPD trifecta - Increase cough, dyspnea, sputum production
Oxygen SPO2 90-94% or PAO2 50-60 mm Hg
Ipratropium bromide
Beta 2 agonists
Systemic corticosteroids
Antibiotics
NIPPV/chest PT
Are treatments for what? - COPD exacerbation
Which of the following is NOT a short acting bronchodilator?
A. Albuterol
B. Levalbuterol
C. Salmeterol
D. Metaproterenol
E. Terbutaline - C. Salmeterol is a LABA
Albuterol is the drug of choice if the patient is tachycardic
t/f? - False. Xoponex is preferred in tachy patients
Anticholinergics are used to help control ____________ - Secretions
Dyspnea at rest
RR > 25
HR > 110
Increased cyanosis
Accessory muscle use
Warrants admission to what unit? - ICU
Severe dyspnea
RR> 35
Severe Hypoxemia PAO2 <40 [Show Less]