David Bellamy's Chronic Obstructive Pulmonary Disease in Primary Care. Class PDF

By David Bellamy

ISBN-10: 1859590322

ISBN-13: 9781859590324

ISBN-10: 1859591043

ISBN-13: 9781859591048

COPD (the spectrum of illnesses together with power bronchitis, emphysema, long-standing irreversible bronchial asthma and small airlines affliction) is likely one of the most typical and demanding respiration issues noticeable in fundamental care. This up-to-date 3rd version indicates tips to deal with COPD in fundamental care - effectively and with important results in your sufferers.

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Extra resources for Chronic Obstructive Pulmonary Disease in Primary Care. Class Health

Example text

Wheezing Wheeze is a common presenting symptom in both COPD and asthma. COPD patients commonly experience wheeze when walking ‘into the wind’ or going out into cold air. Unlike people with asthma, they are rarely wheezy at rest and are not woken at night by wheeze. The atopic asthmatic will often relate wheezing episodes to exposure to a specific allergen. History taking COPD is unusual in a non-smoker, so it is important to quantify an individual’s exposure to cigarettes as accurately as possible in terms of ‘pack-years’.

The kidneys are affected by hypoxia, causing renin–angiotensin upset. This results in fluid retention and peripheral oedema. Polycythaemia A way for the body to adapt to chronic hypoxia is to produce more haemoglobin to carry what little oxygen is available, increasing the number of erythrocytes and raising the packed cell volume (haematocrit). However, this predisposes an already less mobile patient to deep vein thrombosis and pulmonary embolism. Pulmonary hypertension When areas of the lung are poorly ventilated – ventilation/perfusion mismatch – the alveolar capillary bed becomes constricted, causing increased pressure in the pulmonary vasculature – pulmonary hypertension.

Cor pulmonale is a complex and incompletely understood syndrome of fluid retention and pulmonary hypertension caused by chronic hypoxia. The kidneys are affected by hypoxia, causing renin–angiotensin upset. This results in fluid retention and peripheral oedema. Polycythaemia A way for the body to adapt to chronic hypoxia is to produce more haemoglobin to carry what little oxygen is available, increasing the number of erythrocytes and raising the packed cell volume (haematocrit). However, this predisposes an already less mobile patient to deep vein thrombosis and pulmonary embolism.

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Chronic Obstructive Pulmonary Disease in Primary Care. Class Health by David Bellamy


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