Chronic obstructive pulmonary disease 1

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COPD

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Chronic obstructive pulmonary disease 1

  1. 1.    Chronic obstructive pulmonary disease (COPD) refers to a group of lung diseases that block airflow and make breathing difficult. is a long-term lung disease that refers to both chronic bronchitis and emphysema. also known as chronic obstructive lung disease (COLD), and chronic obstructive airway disease (COAD),
  2. 2.  A FVC<75-80% of predicted suggests restrictive disease. An FEV1% <70% suggests obstructive disease.
  3. 3.  Although COPD remains more common in men, recent data suggest that more women die of COPD than men.
  4. 4.   The FEV1% has been shown to be less predictable of prognosis in COPD patients. New scoring systems for symptoms include the COPD Assessment Test (CAT) score and a modified Medical Research Council Dyspnea Scale (mMRC) score <2 and 0-1 exacerbations in the previous year.
  5. 5.  The combination of bupropion and nicotine replacement has clearly been demonstrated to have better outcomes for smoking cessation than either alone.
  6. 6.  Pulmonary rehabilitation has been shown to be beneficial for patients whose FEV1% is < 50%.
  7. 7.  Macrolides given daily have been shown to decrease the number of exacerbations in COPD patients.
  8. 8.  Continuous supplemental oxygen improves the survival in patients with severe COPD.
  9. 9.  Noninvasive positive pressure ventilation (NPPV) may be beneficial in some patients with severe acute exacerbations of COPD.

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