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PPOK
PPOK
Blood gas:
PaO2 ± 65 mm Hg 45-60
PaCO2 35-40 50-60
Elastic recoil Normal
AW resistance N-
Diffusion Cap
N-
FEV1
Bronchodilator
response Poor Better but < 12% and 200ml
Spirometric classification of C
OPD severity using post-bronch
odilator FeV1
Stage I (Mild): FeV1/FVC <0.7; FeV1 80% of pred
icted
Stage II (Moderate): FeV1/FVC <0.7; FeV1 50- <8
0% of predicted
Stage III (Severe): FeV1/FVC <0.7; FeV1 30-<50%
Stage IV (Very severe): FeV1/FVC <0.7; FeV1 <30
% or <50% but chronic respiratory failure is present
. (GOLD 2007)
Treatment: Goals of manageme
nt -1
Recognition of disease (early Diagnosis and staging)
Smoking cessation (secondary prevention) nicotine replacem
ent and Zyban
Improvement of breathlessness (Rx of airflow obstruction- b
ronchodilator drugs)
1.Methylxanthines
2.Short and long-acting B2adrenergic agonists ( incidence of
pneumonia with ICS and LABA combinations)
3.Short and long-acting Anticholinergics- BD of choice in COP
D
Treatment -2
Smoking
Hyperinflation
Airway collapse
Respiratory infection
Bronchospasm
Allergy
Inflammation
Airway Diseases : Asthma
Allergy
Inflammation
Bronchospasm
Hyperinflation
Respiratory infection
AirwayDiseases:Bronchiectasis
Respiratory infection
Hyperinflation
Bronchospasm
Inflammation
Allergy