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COPD

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Transcript of COPD

Chronic Obstructive Pulmonary Disease ...COPD... COPD Chronic Obstructive Pulmonary Disease (COPD), a common preventable and treatable disease, is characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases. Exacerbations and comorbidities contribute to the overall severity in individual patients. We have to determinate: SPIROMETRY SYMPTOMS AN SIGNS Cough
Dyspnea Sputum production RISK FACTORS Principal.... Smoking Other risk factors Genetics Molecules Tobacco smoke Dust and Chemical substances environmental pollution Alpha 1-Antitrypsin
Deficiency Stephany Lissette Cabrera Fontecha DIAGNOSIS... The diagnosis should be confirmed by spirometry. - FVC: Forced vital capacity

- FEV1: Forced expiratory volume in the first
second. The COPD patients present: FVC and FEV1 CODP ASTHMA Differential diagnosis (cc) image by anemoneprojectors on Flickr - Onset in mid-life.

- Symptoms slowly progressive.

- History of tobacco smoking or exposure to other types of smoke.

- Dyspnea during exercise.

- Airflow limitation largely irreversible. - Onset early in life (often childhood).

- Symptoms vary widely from day to day.

- Symptoms worse at night/early morning. Allergy, rhinitis, and/or eczema also present.

- Family history of asthma. TREATMENT Objetives: • Treat Symptoms.
• Prevent disease progression.
• Improve exercise tolerance.
• Improve health status.
• Prevent and treat complications.
• Prevent and treat exacerbations.
• Reduce mortality.
• Prevent or minimize adverse effects of
treatment. Stage I: Stage IV: Stage II: Stage III: COPD Stages Mild COPD
- FEV1/FVC: <0,7
- FEV1: >80% Moderate COPD
- FEV1/FVC: <0,7
- FEV1: >50% - <80% Severe COPD
- FEV1/FVC: <0,7
- FEV1: >30% - <50% Very Severe COPD
- FEV1/FVC: <0,7
- FEV1: <30% Additional exams: Chest X-ray.
Lung Volumes and Diffusing
Capacity.
Oximetry and Arterial Blood Gas
Measurement.
Alpha-1 Antitrypsin Deficiency
Screening.
Exercise Testing. Narcotics (morphine) Vasodilators Mucolytic
drugs Vaccines Corticosteroids Phosphodiesterase-4 Inhibitors Bronchodilators (cc) photo by theaucitron on Flickr PHARMACOLOGIC THERAPY Antibiotics Rehabilitation Surgical Treatments NON-PHARMACOLOGIC THERAPIES Exercise
Training Oxygen
Therapy Types: - Chronic Bronchitis

- Emphysema ...THANKS...
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