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The goal of therapy is to :
 relieve symptoms
 prevent disease progression
 improve exercise tolerance and health
status
 reduce mortality
Management
1- Smoking cessation
 Smoking cessation is the single most
effective therapy for most COPD
patients.
2-Avoid other respiratory
irritants
 These include fumes
 air conditioner filters
 some cooking odors
3 - Exercise regularly
To reduce breathlessness and improve ability to
exercise.
4 - Protect yourself from cold air
5 - Prevent respiratory infections
Treatment
Bronchodilators
 These drugs can help relieve coughing,
shortness of breath and breathing
problems
 beta2-agonists ( e.g: albuterol )
 anticholinergic agents ( ipratropium bromide)
- Slower onset of action than the β-agonists but last
longer
Inhaled steroids (budesonide)
 Corticosteroid drugs inhaled as aerosol
sprays may help relieve shortness of
breath
 Prolonged use may weaken your bones
and increase your risk of high blood
pressure
Antibiotics
 If you develop a bacterial infection, like
acute bronchitis or pneumonia,
antibiotics are appropriate.
oxygen
 If you have severe emphysema with low
blood oxygen levels .
 Criteria for continuous long-term
oxygen therapy :
 PaO2 55 mm Hg
OR
• O2 saturation <88%
Thank you

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Emphysema treatment

  • 1.
  • 2. The goal of therapy is to :  relieve symptoms  prevent disease progression  improve exercise tolerance and health status  reduce mortality
  • 4. 1- Smoking cessation  Smoking cessation is the single most effective therapy for most COPD patients.
  • 5. 2-Avoid other respiratory irritants  These include fumes  air conditioner filters  some cooking odors
  • 6. 3 - Exercise regularly To reduce breathlessness and improve ability to exercise. 4 - Protect yourself from cold air 5 - Prevent respiratory infections
  • 8. Bronchodilators  These drugs can help relieve coughing, shortness of breath and breathing problems  beta2-agonists ( e.g: albuterol )  anticholinergic agents ( ipratropium bromide) - Slower onset of action than the β-agonists but last longer
  • 9. Inhaled steroids (budesonide)  Corticosteroid drugs inhaled as aerosol sprays may help relieve shortness of breath  Prolonged use may weaken your bones and increase your risk of high blood pressure
  • 10. Antibiotics  If you develop a bacterial infection, like acute bronchitis or pneumonia, antibiotics are appropriate.
  • 11. oxygen  If you have severe emphysema with low blood oxygen levels .  Criteria for continuous long-term oxygen therapy :  PaO2 55 mm Hg OR • O2 saturation <88%