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Ch 6 COPD (Disease specific (Asthma (air trapping (born, developed, ex…
Ch 6 COPD
Disease specific
preventable, treatable
emphysema
subtypes
smoking cessation!
pink puffer
chronic bronchitis
productive cough
3 months 2 successive yrs
hypersec. mucus
large to small airways
hypertroph submucosal glands
BLUE BLOATER
spirometry gold standard
detect Amt of air moved
incentive spirometry how to cue?
diag. COPD
fig. 6.9 air trapping
hyper inflate
fig 6.1
lung function and stage
II
III
I
IV
diagnosed via
chest xray(CXR), pulm func test
prolonged expiration
trying to get air out
pharmacotherapy
STOP SMOKING
sleep apnea
BOX 6-1 classes of meds in COPD
implications for PT
Cystic fibrosis
salty baby
white people
productive cough
green sputum
prone to infection
mucus grows
Asthma
air trapping
born
developed
ex induced
prog. 50% as a kid
likey has when older
peak flow meter
show environment tolerance
allergies
implications for PT
ex induced asthma?
make them take short acting bronchodilator
albuterol
15-20 min pre session
Quantification KNOW THIS
FEV over 1 sec
FEV1/FVC >75%is normal
pulmonary function testing
DRUGS xanthene coffee
fig 6.5
TLV max inhale
sum VC + Res. VOl
2-3L + .5 +.75-1
LOOK AT VOLUMES SHE MAY PUT ON TEST KNOW THE AMOUNTS
obstruction
air fine in
air trapped out
common disorders
image 6.1
look at bronchitis
look at asthma
mucus and smooth muscle contraction
emphysema
air trapping
balloon
open
Presents
signs of hyperinflation
elevate shoulder girdel
barrel chest
flat rigid diaphragm
fig 6.2
Symptoms
forward leaning posture
engages pecs to expand