Subtypes of COPD
chronic bronchitis and emphysema
#1 Cause of COPD and #1 Intervention for COPD
Smoking and smoking cessation
Wheezing, dyspnea, cough, and chest tightness together indicate this airway condition
What is asthma
what is chronic bronchitis
inflammation of bronchi
airway problem
COPD medication class improves airflow by relaxing bronchial smooth muscle and is used in both rescue and maintenance therapy
What are bronchodilators
key difference between asthma and COPD
asthma = airflow limitation is reversible due to airway inflammation and bronchospasm
COPD = airflow limitation is not fully reversible because of loss of elastic recoil and airway obstruction
what is Emphysema
destruction of alveolar walls, leading to reduction in elastic recoil and air trapping
alveolar problem
Patient education for asthma
inhaler education
identify and avoid triggers
Diagnostic testing for COPD
spirometry
Chest XRay
ABG
anti-inflammatory asthma medications are commonly used long-term to control airway inflammation
What are corticosteroids
Signs and Symptoms of Emphysema
thin, pursed lip breathing, severe dyspnea with minimal cyanosis (Pink Puffer)
Signs and Symptoms of Chronic Bronchitis
Chronic productive cough
cyanotic, overweight, and peripheral edema (blue bloater)
what to teach pt after taking maintenance inhaler?
rinse mouth to avoid oral thrush
why do we teach pt to use a space for maintenance inhaler
reduce side effects and improves absorption
Oxygen Therapy in COPD patients
Only therapy proven to improve survival
88%-92%
Don't want to over oxygenate (may reduce drive to breathe)