453: Test 1 COPD & Cor Pulmonale

-Preventable
-Treatable
-Chronic air flow limitation that is fully reversible
-Progressive
-Inflammatory response to noxious particles, usually smoking

COPD is the _____ leading cause of death in the US

More than _____% die within 10 years of a COPD diagnosis

COPD is characterized by __________, ____________, and _____________.

COPD includes:

1. Abnormal permanent enlargement of the air space distal to the terminal bronchioles.
2. Destruction of bronchioles without obvious fibrosis
3. Only 10% of patients have the pure form of this

1. Presence of chronic productive cough for 3 or more months in each of 2 consecutive years.
2. Other cause of chronic cough must be excluded

COPD risk factors

Smoking cessation can both __________ and _________ progression of COPD

Occupation and environmental factors have a _______ risk compared to smoking

COPD can develop with intense or prolonged exposure to:

Severe, recurring __________ in childhood (and adulthood) have been associated with decreased lung function and increased respiratory symptoms in adulthood

The genetic risk factor for COPD

AAT ___________ lysis of the lung tissue

Aging

Inflammation

COPD early interventions

Oral and inhaled medications are used for patients with stable COPD to __________, ___________, & _____________.

Most of the maintenance medications used in COPD treatment are directed at:

Onset of clinical manifestations

Diagnosis of COPD is considered with

The earliest sx of COPD is

Patient will usually seek medical attention when

Clinical manifestions

Polycythemia

Cyanosis

COPD Exacerbations

Depression may be _______ times more likely for COPD patients

Anxiety complications

Diagnosis of COPD is confirmed by

True or False:
1. H & P is important in the diagnostic workup
2. The chest x-ray is not a very good indicator of the severity of disease early on. It may show hyperinflation but this is only one piece of the puzzle

The most significant findings of pulmonary functions tests are

10 signs of COPD exacerbation
(first 5 on this flashcard)

10 signs of COPD exacerbation
(last 5 on this flashcard)

Indications for ICU admit

Other COPD diagnostic studies

Typical ABG findings in exacerbations

What is good to look at on a CBC?

How do we care for a COPD patient?

Acute airway management in a COPD patient

COPD Drug Therapy

Bronchodilators

Inhaled corticosteroid therapy

Antibiotics in COPD care

COPD Collaborative Care

Oxygen therapy

Respiratory and Physical therapy

Main goals of effective coughing

COPD Health Promotion

COPD Nursing Diagnoses

Elevated pulmonary artery (PA) pressure from an increase in resistance to blood flow through the PA (usually low resistance, low pressure)

Common manifestations of pulmonary hypertension

Pulmonary hypertension

#1 Cause of secondary pulmonary HTN

Other causes of secondary pulmonary HTN

Definitive test to diagnose pulmonary HTN

In pulmonary HTN, dyspnea on exertion (DOE) is related to

Pulmonary HTN ________ workload of right ventricle and causes right ventricle ________ and can lead to ___________

Clinical manifestations of pulmonary HTN

Enlargement of the right ventricle secondary to diseases of the lung, thorax, or pulmonary circulation.

Causes of cor pulmonale

Cor pulmonale clinical manifestations

Cor pulmonale clinical manifestations with right heart failure

Cor pulmonale plan of care

Goal of pharm management of pulmonary HTN and cor pulmonale

Pharm management of pulmonary HTN and cor pulmonale

Pharm management of pulmonary HTN and cor pulmonale (continued)