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Copd Exacerbatio N Period: Chronic Cough That Produces Sputum That May Be Clear, White, Yellow or Greenish
Copd Exacerbatio N Period: Chronic Cough That Produces Sputum That May Be Clear, White, Yellow or Greenish
Increased
respiratory effort
a.m.b tachypnea,
increased RR,
S.O.B.
Chronic irritation
Decreased Lung
Compliance and
increased airway
If prolonged,
fibrosis of
bronchial walls
and scar
Obstruction
with
parenchymal
damage
Decrease
in
circulatin
g oxygen
Impaired
ciliary function
Increased
susceptibility to
infection
Chronic
Bronchitis
Obstruction of
airflow which
leads to V/Q
mismatch
Progressive coughing
a.m.b. chronic cough that
produces sputum that
may be clear, white,
yellow or greenish.
COPD
Exacerbatio
n
period
Dyspnea
Alveolar tissue
destruction
If cannot
compensate,
Hypoxemia,
hypercapnia,
COPD
Decrease in
surface area
for gas
exchange
Increase in RBC
production
Polycythemia a.m.b.
plethora, cyanosis,
warm moist skin
Higher blood
viscocity
Increased heart
workload
Manifestations:
Progressive decrease in
exercise tolerance,
prolonged expiration,
expiratory wheezes and
crackles, chest tightness
Hypoxic
pulmonary
vasoconstriction
Increased pulmonary
vascular resistance
Pulmonary
hypertension
Ventilation
-Perfusion
coupling
Manifestations:
S.O.B, venous
congestion,
peripheral
edema, chest
pain, fatigue,
excessive
coughing, and
abnormal heart
Cor
pulmonale
Increased right
ventricular
afterload
Right
ventricular
hypertophy
Right
ventricular
failure