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Pathophysiology of.copd
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COPD stands for chronic obstruction pulmonary disease. This disease is caused by either emphysema, chronic bronchitis or chronic asthma or in combination with each other. This is a long term disease and is the damage and narrowing of the airways. COPD can come in different forms, mild, moderate and severe. Mild COPD can include shortness of breath and coughing up mucous, especially of a morning, in winter or when having a cold. Moderate COPD has the same signs and symptoms as mild COPD but with a few additional ones, such as; trouble breathing, especially when doing physically activities (chores and exercise) and taking numerous weeks to recover from a chest infections or cold. Severe COPD has all the signs and symptoms as mild and moderate …show more content…
The right bronchi is wider but shorter (2.5cm) than the left bronchi and more vertical. As the right bronchi is more vertical, there is a higher chance of it becoming obstructed from foreign particles. The left bronchus is about 5cm long and is narrower than the right. The left bronchus is more horizontal. The bronchi is made up of the same layers as the trachea, the outer layer consisting of elastic and fibrous tissue which encloses the cartilage. The middle layer made up of smooth muscle and cartilage and the inner layer is lined with ciliated columnar epithelium. The right and left main bronchi connect the trachea to the bronchioles and their function is the pathway for the air to get to the …show more content…
These intercostal muscles are in the spaces between each rib and the two layers include the internal intercostal muscles and external intercostal muscles. The external intercostal muscles are used in the stage of inspiration and the internal intercostal muscles are in involved in expiration, but only when this stage becomes an active process such as when exercising. The diaphragm is a large muscle, shaped like a dome, which is what separates the thoracic cavity (floor of thorax cavity) and the abdominal cavity (roof of abdominal cavity). The diaphragm contracts in inspiration and relaxes in expiration. The diaphragm and external intercostal muscles contract and pulls the chest out and down (expands) to allow intake of air. As the diaphragm contracts and the chest expands, it pulls the parietal pleura out (which lines the chest wall) and this then pulls out the visceral pleura with it (which lines the outside of the lungs) and this then expands the lungs (Waugh, A & Grant, A
Mrs. Jones, An elderly woman, presented severely short of breath. She required two rest periods in order to ambulate across the room, but refused the use of a wheel chair. She was alert and oriented, but was unable to speak in full sentences. Her skin was pale and dry. Her vital signs were as follows: Temperature 97.3°F, pulse 83, respirations 27, blood pressure 142/86, O2 saturation was 84% on room air. Auscultation of the lungs revealed crackles in the lower lobes and expiratory wheezing. Use of accessory muscles was present. She was put on 2 liters of oxygen via nasal canal. With the oxygen, her O2 saturation increased to 90%. With exertion her O2 saturation dropped to the 80's. Mrs. Jones began coughing and she produced large amounts of milky sputum.
Introduction BiPAP is a form of noninvasive mechanical ventilation used in patients with acute respiratory failure. Many of these patients go on noninvasive ventilation due to COPD exacerbations that are infectious, with congestive heart failure, and ventilator parameters based on their clinical assessment and changes in arterial blood gases. Two different studies were conducted on COPD patients, using a BiPAP machine to improve exacerbations and their activities of daily living. There are many positive outcomes for using these noninvasive ventilators, however when used incorrectly, negative outcomes or no changes at all are always possible. Positive Use for COPD Exacerbations
Chronic obstructive pulmonary disease, better known as COPD, is a disease that affects a person’s ability to breathe normal. COPD is a combination of two major lung diseases: emphysema and chronic bronchitis. Bronchitis affects the bronchioles and emphysema affects the alveoli.
The principle cause of the COPD is long-term exposure to harmful airborne chemicals and particles. The best way for COPD patients to avoid getting worse is to avoid smoking (WebMD, 2016).
My disease is Streptococcal pneumonia or pneumonia is caused by the pathogen Streptococcus pneumoniae. Streptococcus pneumoniae is present in human’s normal flora, which normally doesn’t cause any problems or diseases. Sometimes though when the numbers get too low it can cause diseases or upper respiratory tract problems or infections (Todar, 2008-2012). Pneumonia caused by this pathogen has four stages. The first one is where the lungs fill with fluid. The second stage causes neutrophils and red blood cells to come to the area which are attracted by the pathogen. The third stage has the neutrophils stuffed into the alveoli in the lungs causing little bacteria to be left over. The fourth stage of this disease the remaining residue in the lungs are take out by the macrophages. Aside from these steps pneumonia follows, if the disease should persist further, it can get into the blood causing a systemic reaction resulting in the whole body being affected (Ballough). Some signs and symptoms of this disease are, “fever, malaise, cough, pleuritic chest pain, purulent or blood-tinged sputum” (Henry, 2013). Streptococcal pneumonia is spread through person-to-person contact through aerosol droplets affecting the respiratory tract causing it to get into the human body (Henry, 2013).
The functioning of the chronic obstructive pulmonary diseases (COPD) is that it has a permanent decrease in the ability to force air out of the lungs. Consequently, it causes emphysema to become a more advanced disease with no cure. Emphysema is known for their permanent enlargement of the alveoli, which are accompanied by the destruction of the alveolar walls. The lungs lose their elasticity, so it loses its ability to recoil passively during expiration. People who have emphysema becomes exhausted fast because they need about fifteen to twenty percent of their body energy to breath which is more than what a healthy person needs. Smoking inhibits and destroys cilia in the conducting zone structures, which is the line of defense for the respiratory system.
Vestbo, J., (2011), Clinical Assessment of COPD, COPD: a Guide to Diagnosis and Clinical Management, pp. 21-33, New York: Springer Science & Business Media
Second is pneumonia, which is a lung inflammation, may also cause short of breath and a cough. An infection is usually the caused of the disease so, so you will need to take antibiotics. If you have chronic obstructive pulmonary disease (COPD), it is likely your breathlessness is a sign this condition has suddenly got worse. (Manning & Mahler, 2001)
Vijayan, V. K. (2013). Chronic obstructive pulmonary disease. Indian Journal Of Medical Research, 137(2), 251-269.
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
The larynx provides a passageway for air between the pharynx and the trachea. The trachea is made up of mainly cartilage which helps to keep the trachea permanently open. The trachea passes down into the thorax and connects the larynx with the bronchi, which passes to the lungs. 3. Describe the mechanisms of external respiration including the interchange of gases within the lungs.
Rectus, and External and Internal Obliques flex the spine. Transversus aids in respiration and helps to compress the abdominal cavity to help support the spine in neutral. 4. How does the breath relate to flexion and extension of the spine?
The refined ABCD grading system utilizes respiratory symptoms and exacerbations alone to assign ABCD categories. These groups are now derived only from patient symptoms and their history of exacerbation. The role of spirometry in overall management of COPD has also been updated. Airflow limitation (obstruction on spirometry) is not a component of the ABCD severity system. Spirometry remains important mainly for diagnosis, prognosis, and consideration of therapies, but NOT for severity grading systems
I really didn’t know very much about COPD. I knew that COPD makes it hard to breathe and that sometimes you need to use oxygen to help you breathe. I’ve never heard very much about it other than my grandpa had it and there are a lot of commercials about it. It makes your life a lot harder and you can’t do daily tasks with the ease we take for granted because you’re lugging around your oxygen tank or, ultimately you just can’t breathe.
Lung conditions can be classified as obstructive lung disease or restrictive lung disease. Obstructive lung diseases include conditions that make it hard to exhale all the air in the lungs. People with restrictive lung disease have difficulty fully expanding their lungs with air. Obstructive and restrictive lung disease shares the same main symptom shortness of breath with exertion.