Asthma
What is asthma?
persistent but variable inflammation of the airways
persistent: always there
variable: can be good/bad but it CAN be controlled
Does smoking cause COPD?
no, it doesn't cause COPD but it does profoundly advances the disease.
how many liters of oxygen can someone with COPD be on?
2 liters
what is a bronchoscopic lung volume reduction surgery?
one-way valves placed in the airway leading to the diseased part of the lung
What is sleep apnea?
no breathing at night for 10secs at a time while asleep
What is the early phase of asthma? how do you treat it?
That immediate attack, take your rescue inhaler & rest. if that doesn't work it leads to LATE PHASE
What is COPD?
persistent airflow limitation
(breathing through the straw)
What is a life threatening finding with asthma?
silent chest
What is a bullectomy?
one or more large bullae removed to improve lung function
Name 3 risks factor for sleep apnea?
obesity
age >65
neck circumference >than 17 inches
craniofacial abnormalities
smokers are more likely to have this
men more than women
When does the late phase occur, and does it happen everytime?
late phase occurs 4-6 hours after initial attack
it does not happen everytime
What 2 things make up COPD?
* You do not have to have both *
chronic bronchitis
emphysema
What disease can you slow but not stop?
COPD
What is another surgery they can do to help COPD?
Name 3 things you see when looking for sleep apnea?
frequent arousals during sleep
insomnia
excessive daytime sleepiness/fatigue
witnessed apneic episodes
snoring while asleep
morning headaches
What is the green zone of the asthma plan?
usually 80-100% of personal best
remain on your medications
What is polycythemia?
a lot of red blood cells, risk for clots
What is one finding specific to COPD?
barrel chest
What are airway clearance devices?
flutter, acapella
How to diagnose sleep apnea?
sleep study
overnight pulse ox
more than 5 apnea events per hours
severe can be associated with more than 30-50 per hour
What is the Red Zone of the asthma action plan?
50% or less of personal best
indicates serious problem
definitive action must be taken with HCP
What do you put people with COPD on when they are also getting steroids?
antibiotics
What can be treated/helped with bronchodilators and steroids?
COPD & Asthma
What nutritional therapy and eating therapy should we be aware of?
rest before eating
may have to use 02
high-calorie/high-protein diet
Treatment for sleep apnea
CPAP
BiPAP
Oxygen