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2.02 - A Nasty Cough, Smoking, Salbutamol puffer; no relief, Tachypnoea,…

- - - - Increased mucus production
        
        Productive cough change in sputum from clear to yellow and increased production (half a cup daily for 7 days)
        
        Airway narrowing
        
        Shortness of breath (dyspnoea)
        
        Exercise intolerance
        
        ADL - Limited walking distance
        
        Audible expiratory wheeze
        
        Decrease FEV1
        
        Decreased FEV1/FVC Ratio < 80%
        Reduced FEV1
        
        COPD
        
        Infection
        
        3 more items...
        
        V-Q mismatch
        
        Hypercapnia
        
        Respiratory acidosis
        
        2 more items...
        
        Asterixis
        (flappy hands when wrist is extended)
        
        Beta-2 agonist - SABA or LABA
        
        Promote adrenaline driven smooth muscle relaxation
        
        Anti-muscarinics - SAMA or LAMA
        
        Inhibit ACh-muscarinic receptor smooth muscle constriction
        
        Crackles
- - - - Supplementary Oxygen (Acute) - to reach 88-92% SaO2
        Three ways to administer: oxygen mask, CPAP/BiPAP, mechanical ventilation
  - - - Hyperinflation of lungs (X-ray)
        
        Increased functional residual capacity
        
        Diaphragm Flattening
        
        Heart more vertically oriented