Chronic Obstructive Lung Disease

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The Global Initiative for Chronic Obstructive Lung Disease which is referred to as “GOLD” is recognized as the worldwide leading authority for the diagnosis, management, and prevention of COPD. GOLD gives a specific definition for COPD, which is a disease that is preventable and treatable, along with this comes some significant extrapulmonary effects that may contribute to the severity in specific patients. The pulmonary element is classified by airflow limitation that isn’t fully reversible. The airflow limitation tends to be progressive and linked to an abnormal inflammatory response of the lungs to gases or noxious particles. GOLD guidelines state that the risk factors for COPD go hand in hand with the particles a person …show more content…
These include; tobacco smoke, occupational dust and chemicals, indoor and outdoor air pollution, conditions that effect normal lung growth like low birth weight and respiratory infections, as well as a person’s genetic predisposition. The main indicators for the diagnosis of COPD are dyspnea, chronic cough, chronic sputum production, and a history of being exposed to the “risk factors.” Having all of these indications should not be what is used to diagnose a person as having COPD, but it should be confirmed by a pulmonary function study/test (PFT.) GOLD doesn’t use the terms chronic bronchitis or emphysema within its classifications. They can develop alone but more often than not they develop simultaneously as one disease complex. That’s what is then referred to as COPD. Patients who are diagnosed with COPD show numerous signs and symptoms that are associated with both disorders. This explains why most of the time treatment for chronic bronchitis, emphysema or both disorders are similar in clinical …show more content…
It is important that no matter what stage if the patient is a smoker that you approach them with a smoking cessation program, and urge the patient to quit smoking. Along with that comes the approach to treating the symptoms. You treat these symptoms with bronchodilators, systemic antibiotic, systemic steroids and supplemental oxygen. There are also mucolytic, these could be given via nebulizer. These medications can be used differently as the stages progress. As patients symptoms worsen it is possible that they are unable to adequately ventilate and oxygenate on their own to keep their O2 saturations where they need to be. In this instant you would see oxygen via nasal canula given to the patient for everyday at home use (2.) To deal with and treat the symptoms of chronic bronchitis you may see the use of an oral mucolytic. This might reduce exacerbations, hospitalizations, along with how long an exacerbation or hospitalization may last. A mucolytic is not guaranteed to revert the quality of life of the adult individual back to where they were previously if they have COPD (3.) Using a mucolytic is a way to add moisture to the secretions in the airways, wherever salt goes water follows. In theory this loosens up the secretions, making it possible for the patient to move the secretions out of the airway with an effective cough. Chronic bronchitis is a chronic,

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