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Pink Puffer

Pink Puffer. Blue Bloater. Final Diagnosis?. Pathological Findings. Chronic Bronchitis. Emphysema. Diagnosis!. Chronic Obstructive Pulmonary Disease - with developing chest infection. Possible Complications. -Infection -Cor pulmonale -Secondary polycythemia -Bullous lung disease

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Pink Puffer

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  1. Pink Puffer Blue Bloater

  2. Final Diagnosis?

  3. Pathological Findings Chronic Bronchitis Emphysema

  4. Diagnosis! Chronic Obstructive Pulmonary Disease - with developing chest infection

  5. Possible Complications -Infection -Cor pulmonale -Secondary polycythemia -Bullous lung disease -Actue or chronic repiratory failure -Pulmonary hypertension -Malnutrition -Pneumothorax -Poor sleep quality -Arrhythmias -Acute respiratory failure

  6. General Measures? • Smoking cessation • Aggressive treatment of infections • Pulmonary rehabilitation • Appropriate vaccinations • Outpatient treatment is usually adequate • Acute respiratory failure may require mechanical ventilation Treatment

  7. Treatment continued… Surgical Measures In selected cases: lung reduction surgery or lung transplantation Activity As tolerated. Full activity should be encouraged. Diet A well balance, high protein diet is suggested.

  8. Medications • Corticosteroids • Ex. prednisone • Bronchodilatordrugs (includes sympathomimetics) • Ex. theophylline • Sympathomimetics • Ex. Albuterol (Proventil, Ventolin)

  9. Other recommendations.... (apart from quitting smoking) • Environment • Rehabilitation Programs • Traveling at high altitudes • Any other recommendations?

  10. Patient monitoring • Check Theophylline level • Home oxygen • Nocturnal oxygen Prognosis/Follow up FACT: 3 in 4 people with COPD survive for 1 year after diagnosis, but less than 1 in 20 survives beyond 10 years. (CMA)

  11. Please finish the quiz independently • After finishing the quiz fill the course evaluation form • Tell us what you thought • Don’t forget to hand everything in Evaluation

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