Definitions
Define Chronic Bronchitis
a productive cough 25% of the year for at least 2 consecutive years
What is the dose for Budesonide?
0.5 mg
Barrel chest is associated with:
Emphysema
What are some examples of pulmonary hygiene techniques to use for a patient with chronic bronchitis?
chest physiotherapy, hydration therapy for thick sputum, or mucolytics
What would a CBC look like for a patient with COPD?
increased RBC, increased WBC if they have an infection
Define Emphysema
Abnormal condition of the alveoli resulting in destruction and loss of elasticity
What is the dose for Atrovent?
0.5 mg
Productive cough with purulent sputum production is associated with:
Chronic Bronchitis
What are 3 common bronchodilators given to a patient with a COPD exacerbation?
Albuterol, Xopenex, Atrovent
Ph decreased or normal
CO2 increased
PO2 decreased
HCO3 increased
Define digital clubbing
a physical deformity of the fingers or toes where the fingertips enlarge, and the nails curve downward.
What medications are in Dulera?
Formoterol and Mometasone
What causes digital clubbing of the nail beds?
chronic hypoxemia
What medication can be given to thin secretions for a patient with chronic bronchitis?
Acetylcysteine
Describe a chest X ray on a patient with emphysema
Increased AP diameter
Flattened diaphragms
Hyperlucency
diminished pulmonary markings
Define polycythemia
abnormally high concentration of red blood cells in the body
What medications are in Symbicort?
Formoterol and Budesonide
Alpha-1 Antitrypsin deficiency can cause:
emphysema
What is the FiO2 range for a patient with COPD (non-emergent)
0.24-0.28
What DLCO indicates emphysema?
less than 20
Define trans-tracheal oxygenation
a trans-tracheal oxygen catheter delivers oxygen directly into the trachea through a small, minimally invasive surgical opening in the neck.
What medications are in Advair?
Salmeterol and Fluticasone
What are some examples of occupational exposure to pulmonary irritants?
Asbestos, Solvents, Pesticides, dust, fumes, or TB
What antibiotic is preferred for a patient with chronic bronchitis?
Tetracycline
What percentage does FEV1/FVC indicates an obstructive disease?
FEV1/FVC less than 70%