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Pulm Disease Exam 2

SPC Pulmonary Disease Exam 2

QuestionAnswer
In patients with COPD both what are present? Chronic Bronchitis & Emphysema
In Panacinar & Panlobular Emphysema there is what? Abnormal weakening and enlargement of all alveoli distal to terminal bronchioles to include: respiratory bronchioles, alveolar sacs, alveolar ducts, and alveoli
In Centriacincar & Centrilobular Emphysema it involves what? Respiratory bronchioles in the proximal portion of the acinus.
What is the most common form of emphysema and is associated with cigarette smoking? Centriacinar Emphysema
How many people is believed to have chronic bronchitis, emphysema, or both? 10-15 million
A severs deficiency of Alpha 1 poses a strong risk factor for what? Panacinar Emphysema
What factors influence the development of COPD? 1. Genes 2. Age 3. Lung Growth & Development 4. Exposure to particles: Tobacco, occupational, indoor/outdoor pollution 5. TB, Asthma, Chronic Bronchitis, Infection 6. Socialeconomic status
Diagnosis of COPD should be considered for what? Patient over 40 w/dyspnea, chronic cough, sputum production, exposed to smoking
Chest radiograph is poor at diagnosing what? COPD
A Chest radiograph is good at diagnosing what? pulmonary fibrosis, bronchiectasis, cardiomegaly
Type A COPD Emphysema, Pink Puffer, Pursed Lip Breathing
Type B COPD Chronic Bronchitis, Blue Bloater, Cyanosis
Radiology findings of Chronic Bronchitis? Translucent (dark lung fields and flattened diaphragm
Therapeutic options for COPD? 1. STOP SMOKING 2. smoking prevention 3. nicotine replacement 4. bronchodilators 5. exercise 6. less indoor/outdoor exposure 7. corticosteroids
Pharmacologic treatment options for COPD patients? 1. Vaccines 2. Alpha 1 antitrypsin 3. Mucolytic 4. Vasodilators
Other treatment options for COPD? 1. O2 Therapy 2. Ventilatory Support 3. Surgical 4. Treatment of Comorbid conditions 5. End of life care
The NAEPP guidelines include what? 1. 6 steps of asthma management based upon degree of asthma control 2. 4 levels of asthma, intermittent, mild, moderate, severe 3. Adjustments to manage based upon asthma control 4. Use of action plan for children and adults
Asthma is decribed as a lung disorder characterized by? 1. Reversible bronchial smooth muscle constriction 2. Airway Inflammation Increased Airway Responsivess to an assortment of stimuli
Whats the result of smooth muscle constriction? Bronchial mucosal edema, and excessive bronchial secretions, air trapping, and alveolar hyperinflation
Varicose Brochiectasis Bronchi are dilated and constricted in a irregular fashion, distorted bulbous shape
Cylindrical Brochiectasis Bronchi are dilated and rigid and have regular outlines like a tube. Xray dilated bronchi fail to taper for 6 to 10 generations then end abruptly
Cystic Bronchiectasis Bronchi progressively in diameter unitll they end in large cystlike sacs
Most causes of bronchiectasis include a combination of what? Obstruction and Infection
In developed countries what isvthe most common cause of Bronchiectasis. Cystic Fibrosis
What is Sick Building Syndrome? A condition where many people living networking in the same building experience different symptoms with no identifiable cause.
Created by: Langhout1418