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    This document discusses chronic obstructive pulmonary disease (COPD) and its subtypes chronic bronchitis and emphysema. It describes COPD as a preventable and treatable respiratory disease involving the airways and lungs. The management of COPD involves promoting smoking cessation, supplemental oxygen therapy, medications, and managing exacerbations. Pharmacologic therapies include bronchodilators to relieve bronchospasm and improve lung function.

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    This document discusses chronic obstructive pulmonary disease (COPD) and its subtypes chronic bronchitis and emphysema. It describes COPD as a preventable and treatable respiratory disease involving the airways and lungs. The management of COPD involves promoting smoking cessation, supplemental oxygen therapy, medications, and managing exacerbations. Pharmacologic therapies include bronchodilators to relieve bronchospasm and improve lung function.

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    © All Rights Reserved
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    3 views2 pages

    Respi Copd

    Uploaded by

    Moon Killer
    This document discusses chronic obstructive pulmonary disease (COPD) and its subtypes chronic bronchitis and emphysema. It describes COPD as a preventable and treatable respiratory disease involving the airways and lungs. The management of COPD involves promoting smoking cessation, supplemental oxygen therapy, medications, and managing exacerbations. Pharmacologic therapies include bronchodilators to relieve bronchospasm and improve lung function.

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    © All Rights Reserved
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    of 2

    NCM112j -RESPI

    Chronic Obstructive Pulmonary Disease


    CHRONIC OBSTRUCTIVE MEDICAL MANAGEMENT
    PULMONARY DISEASE • Promoting smoking cessation ▪Provide
    • Preventable and treatable slowly supplemental oxygen therapy
    progressive respiratory disease of • Prescribe medications
    airflow obstruction involving the • Manage exacerbations
    airways, pulmonary parenchyma, or
    both. PHARMACOLOGIC THERAPY
    • Bronchodilator – relieve bronchospasm
    by improving expiratory through
    widening the airways and promoting
    lung emptying with each breath
    (pMDIs, DPI)

    BRONCHIECTASIS
    • Chronic, irreversible dilation of the
    bronchi and bronchioles that results
    from destruction of muscles and elastic
    MANAGEMENT OF PATIENTS WITH connective tissue
    CHRONIC PULMONARY DISEASE
    CHRONIC BRONCHITIS
    • Defined as the presence of cough and
    sputum production for at least 3
    months in each of 2 consecutive years
    CLINICAL MANIFESTATIONS
    • Chronic cough
    • Production of purulent sputum
    • Clubbing of fingers
    • Repeated episodes of respiratory
    infection

    MEDICAL MANAGEMENT
    • Promote bronchial drainage
    EMPHYSEMA • Clear excessive secretions
    • Abnormal distention of the airspaces • Prevent or control infection and
    beyond the terminal bronchioles and inflammation
    destruction of the walls of the alveoli
    PHARMACOLOGIC THERAPY
    • Antibiotics – antimicrobial therapy
    choice on empiric coverage is
    prescribed initially
    • Vaccination against Influenza and
    Pneumococcal Pneumonia
    • Nebulized mucolytics – hypertonic
    CLINICAL MANIFESTATIONS
    saline improves airway clearance
    • Chronic cough, sputum production and
    dyspnea
    • Weight loss is common
    1
    NCM112j -RESPI
    Chronic Obstructive Pulmonary Disease
    ASTHMA
    • Characterized by chronic airway
    inflammation that causes
    hyperresponsiveness, mucosal edema,
    mucus production

    CLINICAL MANIFESTATIONS
    • Cough
    • Chest tightness
    • Wheezing
    • Dyspnea

    MEDICAL MANAGEMENT
    • Prevent impairment of lung function by
    minimizing symptoms, preventing
    exacerbation

    PHARMACOLOGIC THERAPY
    • Quick-relief medications - for
    immediate treatment of asthma
    symptoms and exacerbation, relax
    smooth muscle (Albuterol,
    Levalbuteorl, Pirbuterol)
    • Anticholinergic (Ipratropium) -
    may be used to patients who do not
    tolerate short acting beta 2 adrenergic
    agonists
    • Long acting medications - to
    achieve and maintain control of
    persistent asthma (Corticosteroids)

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