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Flashcards in COPD PP 21 on Deck (104)
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1

Type B COPD, “blue bloater” associated with ________

chronic bronchitis

2

Hypersecretion of bronchial mucus

chronic bronchitis

3

1) Chronic or recurrent productive cough >3 months >2+ successive years 2) Persistent, irreversible when paired with emphysema 3) 1:2 male to female ratio 4) >30 to 40 years

chronic bronchitis

4

Chronic inflammation and swelling of the bronchial mucosa resulting in scarring leads to ______

chronic bronchitis

5

Elevated IL8 levels recruit neutrophil activation Elevated CD8 T-lymphocytes Extend into surrounding alveoli prevents proper oxygenation and potentiates airway obstruction

chronic bronchitis

6

Hyperplasia of bronchial mucous gland/goblet cells Formation of mucus plugs

chronic bronchitis

7

Increased bronchial wall thickness associated with _____

chronic bronchitis

8

Pulmonary hypertension associated with _____

chronic bronchitis

9

Pulmonary hypertension in chronic bronchitis caused by _______ and ______

cor pulmonale; r/s heart failure

10

Results in dilation of airway sacs: bronchiectasis Dilated sacs contain pools of infected secretion that do not clear themselves; can cause further infection that can spread to adjacent lung fields by the lymphatics or venous drainage to other areas of the body, commonly the brain

chronic bronchitis

11

Typical patient is overweight Commonly associated with emphysema SOB on exertion associated with _______

chronic bronchitis

12

Excessive sputum Chronic cough (more severe in mornings) associated with _______

chronic bronchitis

13

Evidence of excess body fluids (edema, hypervolemia) Cyanosis (late sign) associated with _______

chronic bronchitis

14

You diagnose chronic bronchitis using a ________ and _______ function tests

chest x ray; pulmonary

15

_____ total lung capacity (TLC) _____ residual volume (RV) _____FEV1 are pulmonary function tests used to diagnose chronic bronchitis

normal; increased; decreased

16

Increased bronchial vascular markings Congested lung fields used to diagnose ________

chronic bronchitis

17

Enlarged horizontal cardiac silhouette Evidence of previous pulmonary infection used to diagnose _______

chronic bronchitis

18

______ PaCO2 ______ PO2 used to diagnose chronic bronchitis

elevated; decreased

19

Atrial arrhythmias Evidence of right ventricular hypertrophy used to diagnose ________

chronic bronchitis

20

Secondary polycythemia used to diagnose _______

chronic bronchitis

21

Block the progression of the disease Return to optimal respiratory function Return to usual activities of daily living are just some goals of _______

chronic bronchitis

22

Inhaled short-acting B2 agonists is medication for ______

chronic bronchitis

23

Inhaled anticholinergic bronchodilators Cough suppressants Antimicrobial agents (bacterial infections) meds for _______

chronic bronchitis

24

Inhaled/oral corticosteroids Theophylline products meds for ______

chronic bronchitis

25

Low-dose _____therapy Mechanical ventilation may be necessary for ______

O2; chronic bronchitis

26

Smoking cessation Bronchodilator therapy Reduction to exposure of irritants done to manage ______

chronic bronchitis

27

Rest, hydration, and physical reconditioning used to manage _____

chronic bronchitis

28

Influenza and pneumococcal vaccines used to manage _______-

chronic bronchitis

29

Type A COPD “Pink puffer associated with _______

emphysema

30

Destructive changes of the alveolar walls WITHOUT fibrosis Abnormal enlargement of the distal air sacs

emphysema