Enfermedad Pulmonar Obstructiva Cronica

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ENFERMEDAD PULMONAR

OBSTRUCTIVA CRONICA

MIP KARLA CORTÉS


DEFINICION

• ENFERMEDAD FRECUENTE, PREVENIBLE Y TRATABLE ANOMALIAS DE VIAS


RESPIRATORIAS O ALVEOLARES
• SINTOMAS RESPIRATORIOS
• vias aereas pequeñas
• LIMTACION DEL FLUJO AEREO PERSISTENTE • destruccion del parenquima

Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
ETIOLOGIA

CONTAMINACION EXPOSICION COMBUSTIBLES


TABAQUISMO
ATMOSFERICA LABORAL BIOMASA

GENETICA HIPERSENSIBILIDAD MAL DESARROLLO


INFECCIONES
AAT DE VA PULMONAR

Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
DIAGNOSTICO

DIFERENCIAL:
• ASMA
• INSUFICIENCIA CARDIACA CONGESTIVA
• BRONQUIECTASIAS
• TB
• BRONQUIOLITIS OBLITERANTE

Gold Initiative for Chronic Obstructive Lung Disease. Global


Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report
(2017)
EVALUACION Y CLASIFICACION

Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
ESPIROMETRIA

Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
RX DE TORAX
TRATAMIENTO

• MEDIDAS EN TTO
• DEJAR DE FUMAR
• VACUNAS
• ANTIGRIPAL
• NEUMOCOCICA (REDUCE NEUMONIA)
• BRONCODIL NO DE ACCION CORTA (LABA (SALMETEROL Y
FORMOTEROL 2XDIA))
• ANTIMUSC TIOTROPIO
• METILXANTINAS
• CORTICOESTEROIDES
Gold Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic
Obstructive Pulmonary Disease. NHLBI/WHO Workshop Report (2017)
EPOC ESTABLE
National Institute for Clinical Excellence. Chronic obstructive pulmonary disease. Management of chronic obstructive
pulmonary disease in adults in primary and secondary care. Quick reference guide 2004.

OXIGENO

• Pacientes con paO2 <55 mmHg respirando aire


ambiente
• paO2 entre 56 y 59 mmHg con signos de HTP
• Insuficiencia cardiaca congestiva
• Arritmias
• Edema periférico
• Hematocrito mayor al 55%.

• La ATS/ERS3 y la NICE4 recomiendan su


administración en pacientes
• Desaturaciones nocturnas >30% del sueño

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