Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/35

Click to flip

35 Cards in this Set

  • Front
  • Back
COPD is a state of ___ limitation due to ___ or ___
airflow
emphysema
chronic bronchitis
chronic bronchitis is defined as ___
productive cough for at least 3 months for at least 2 consecutive years
T/F: you can have asthma with no airflow limitation
true
3 known COPD risk factors
smoking
occupational smoke exposure
A1AT deficiency
air pollution is a definite factor in ___ but only a probable factor in ___
asthma
COPD
3 molecular problems in COPD
proteinase/antiproteinase imbalance
inflammation
oxidative stress
3 kinds of epithelial dysfunction in COPD
mucus hypersecretion
ciliary dysfunction
decreased DLCO
loss of alveoli in COPD causes ___
V/Q mismatch
in COPD PFT, ___ (3) is reduced and ___ (3) is increased
FEV1
FEV1/FVC
VC
RV
FRC
increased TLC
COPD pts have brady/tachypnea
tachypnea
in contrast to asthma COPD onset is ___ in life and damage is ___
late
irreversible
one way to distinguish COPD from edema secondary to HF is
edema clears after diuretic
COPD causes RHF via ___.
pulmonary HTN
enlarged heart secondary to pulmonary HTN is called ___
cor pulmonale
on CXR emphysema appears as ___
enlarged lungs
3 kinds of drugs for COPD
beta2 agonists
antimuscarinics
corticosteroids
___ aka ___ is a short term beta agonist for COPD
___ (2) is a long term beta agonist for COPD
ventolin
albuterol
formeterol
salmeterol
___ aka ___ is a short-term antimuscarinic for COPD
___ is a short-term antimuscarinic for COPD
aerovent
ipratropium
thiotropium
___ (2) are inhaled CSs for COPD
fluticazone
budezamide
___ (2) combine steroids with ___.
symbicort
seretide
beta2 agonist
___ is an indication for O2 supplemenation
documented hypoxemia
if required O2 should be administered ___ hours per day
>14
only ___ (2) are proven to reduce COPD mortality
smoking cessation
O2
lung hyperinflation can be treated with ___
lung volume reduction surgery
3 indications for lung volume reduction surgery
FEV1<20% of predicted
upper lobe predominance
very low exercise capacity
lung transplant doesn't ___ but does ___.
prolong life
improve quality of life
lung transplant patients die of ___ (2)
infections secondary to immune suppression
bronchiolitis obliterans
lung transplant is suitable for patients under ___ y.o.
65
2 most common causes of COPD exacerbations
infection
air pollution
1/3 of COPD exacerbations are due to ___
unknown causes
4 tx for COPD exacerbation
cephalosphorin
NIPPV
bronchodilators
CS
NIPPV is
noninvasive positive pressure ventilation
if acute exacerbation causes ___ (3), admit to ICU
confusion
lethargy
coma
3 indications for NIPPV
moderate/severe dyspnea with use of accessory muscles
acidosis with hypercapnea
tachypnea
because of ___, mechanical ventilation is a last resort
difficulty in weaning