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Michael W. Nash, MD Family Medicine Clinton County Rural Health Clinic

Michael W. Nash, MD Family Medicine Clinton County Rural Health Clinic. Understanding COPD. COPD Chronic Obstructive Pulmonary Disease A.K.A “Emphysema” or “Chronic Bronchitis” Most common cause is smoking Other causes such as Alpha-1 Antitrypsin. The Lungs. COPD. COPD vs ASTHMA.

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Michael W. Nash, MD Family Medicine Clinton County Rural Health Clinic

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  1. Michael W. Nash, MD Family Medicine Clinton County Rural Health Clinic Understanding COPD

  2. COPD • Chronic • Obstructive • Pulmonary • Disease • A.K.A “Emphysema” or “Chronic Bronchitis” • Most common cause is smoking • Other causes such as Alpha-1 Antitrypsin

  3. The Lungs

  4. COPD

  5. COPD vs ASTHMA

  6. Diagnosis: • Chronic cough, sputum • Shortness of breath, especially with exertion • Wheezing • Pursing of lips • Common cold hits you harder • History of smoking

  7. Diagnosis: • Spirometry (Pulmonary Function Testing) • Chest x-ray, CAT scan suggestive • Arterial Blood Gas (ABG) • Pulse Oximetry Testing (resting vs. exertion)

  8. Treatment: • Harder to treat than asthma • Rescue Inhalers • Albuterol, Ipratropium, Levalbuterol • Nebulizers • Maintenance Inhalers • Steroids, Salmeterol, Tiotropium • Medications • Prednisone, Theophylline • Oxygen • More advanced disease, meet certain qualifications

  9. Treatment:

  10. Treatment: • Exacerbations • Colds, bronchitis, pneumonia often hits harder • Usually requires antibiotics, steroids, increased use of rescue medications • Sometimes requires hospitalization • Bi-Pap • Mechanical Ventilation

  11. Other Considerations: • Influenza Vaccination yearly • Pneumococcal Vaccination • Every 5 years until age 65, then one thereafter • Staying as active as possible • Consultation with a pulmonologist • Good nutrition • Advanced Directives

  12. Here in Breese: • Testing: PFT, ABG, CXR, CT, Pulse Oximetry • Pulmonary Rehabilitation • Primary Care Physicians trained in tobacco cessation • Three Board Certified Pulmonologists • Flu and Pneumococcal vaccinations • HealthPlex • Resources for Nutrition and Advanced Directives

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