C.O.P.D
chronic pulmonary obstruction disease
it is group of disease characterized by increase resistence to expiration air flow
type
1chronic bronchitis
chronic inflammation of the lower respiratory tract characterizes by excessive mucous, secretion, cough,dyspnea, recurring infection
2pulmonary emphysema
distruction of the distal air space
etiology
smoking, allergic, genetic, air pollution, infection, alpha antitrpsin
manifistation
1chronic bronchitis
three mounth of year persistent cough
wheezing and dyspnea
2emphysema
increase anterior and posterior chest diameter
decrease tolerance
dyspnea
diagnostic evaluation
1pulmonary functional test
2ABG's
3chect x-ray
4alph antitrypsine
manegment
1stop smoking
2bronchodilator aerosoles
3antimicrobial agent
4corticosteroid
5low flow oxygen therapy
complication
1respiratory failure
2right side of the heart failure
3overwhelming respiratory infection
4depression
5skeletal muscle disfunction