COPD – Chronic Obstructive Pulmonary Disease

1. Chronic bronchitis
2. Bronchial asthma
3. Bronchiectasis
4. Pulmonary emphysema – terminal stage

CHRONIC BRONCHITIS - called BLUE BLOATERS inflammation of bronchus due to hypertrophy or hyperplasia of goblet mucus producing cells leading to narrowing of smaller airways.

Predisposing factors:

1. Smoking – all COPD types
2. Air pollution

S/Sx:

1. Prod cough
2. Dyspnea on exertion
3. Prolonged expiratory grunt
4. Scattered rales/ rhonchi
5. Cyanosis
6. Pulmo HPN – a.)Leading to peripheral edema

b.) Cor pulmonary – respiratory in origin

7. Anorexia, gen body malaise

Dx:

1. ABG

PO2 PCO2 Resp acidosis

Hypoxemia – causing cyanosis

Nsg Mgt:

(Same as emphysema)