Nursing Cs Copd

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COPD

USNIH Definition WHO Definition


Chronic obstructive pulmo- Healthy COPD
There are 2 main forms of COPD nary disease (COPD) is a lung
Chronic bronchitis Emphysema disease characterized by
chronic obstruction of lung
Chronic bronchitis Emphysema involves airflow that interferes with
involves a long-term damage to the alveolar normal breathing and is not
cough with mucus. walls over time. fully reversible.
The COPD diagnosis now
Most people with COPD have a combi- includes the old terminology
nation of both conditions. ‛chronic bronchitis’ and ‛em-
physema’. Alveolar membrane
degraded

COPD Symptoms Disease Progression


Symptoms of COPD can be different for The damage to the airways from COPD will worsen over
each person, but common symptoms are: time from:
Breathing becomes increasingly
Increased shortness of breath Chronic inflammation
difficult
Frequent coughing (with and without mucus) Increased numbers of goblet cells CO2 and O2 exchange is impaired
Increased breathlessness Mucus gland hyperplasia Air is trapped in the lungs
Wheezing Pulmonary fibrosis Exhaling is harder than inhaling
Narrowing and reduction in num- Airway collapse from alveolar wall
Tightness in the chest
ber of small airways destruction

Asthma and COPD


A patient has asthma but “Characterized by persistent air-
their airflow obstruction is NOT COPD flow limitation with several features
reversible. usually associated with asthma
and several features usually asso-
A patient has chronic bron- ciated with COPD. Asthma-COPD
chitis, emphysema, or both Overlap Syndrome (ACOS) is there-
but does not have airflow NOT COPD fore identified in clinical practice
obstruction. by the features that it shares with
both asthma and COPD.”
A patient has chronic bron- Consensus statement from the Global
chitis, emphysema, or both Initiative for Chronic Obstructive Lung
IT IS COPD Disease (GOLD) and GINA Science Com-
with non-reversible airflow mittees
obstruction.

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