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Transcript of COPD 101
A group of lung diseases that block airflow and make breathing difficult
the two main players
air sacs (alveoli) at the end of the smallest air passages (bronchioles) in the lungs are gradually destroyed
inflammation and narrowing of the lining of the bronchial tubes
small airways collapse when
you exhale, impairing
airflow out of your lungs
production of more mucus and development of chronic cough
Management of COPD Patient
Asthma Vs. COPD
non productive cough
chronic productive cough
freq respiratory infections
Avoid supine position (rubber dam?)
Monitor heart rate and respiration
Oxygen administration varies
alcohol, benzodiazepines, barbiturates, GHB, sedatives and opiates
onset 40s or later
smoking or chronic infections
Many LA solutions contain sulfites
NO and high O flow are contraindicated
Anticholinergic or antihistamines alter tracheobronchial secretion
breathing is 10-20x more work than normal function
COPD affects 15 million Americans
110,000 deaths per year
3rd leading cause of death in America
women > men
smoking is bad
Bellome, John. Oral Surgery 1 Lectures
Schubert, Sascha. Medical Emergencies in the dental office.
Dental considerations in patients with respiratory problems. Ariadna Claramunt Lozano 1, Ma Gracia Sarrión Perez 2, Carmen Gavaldá Esteve 2.
Dental management of COPD patient
SS Rahman1, M Faruque2, MHA Khan3, SA Hossain4
Remember: acetaminophen and Cox-2 inhibitors do not precipitate bronchospasm, it can be used for these patients.
alpha-I antitrypsin deficiency
low levels of AAT protein made in liver
2-3% of emphysema in U.S.
Chronic Obstructive Pulmonary Disorder
AVOID ANY RESPIRATORY DEPRESSORS
Stress reduction protocol