Question

Part B

A 54-year-old comes to your office with a 30-year history of tobacco use. There is an increase in cough of late, with copious productive white clear sputum. The patient relays shortness of breath at work and with walking around the house. During the exam, the patient leans forward to talk and also states that sleeping flat has become uncomfortable. You suspect COPD.

1. Describe the physiology of COPD.
2. Using COPD guidelines, describe your pharmacological treatment with rationale.
3. What considerations regarding socioeconomics, drug profiles, and management must you make?
4. Describe a teaching plan that includes lifestyle and prescription considerations.

Answer 1

Ans) With COPD, the airways in your lungs become inflamed and thicken, and the tissue where oxygen is exchanged is destroyed. The flow of air in and out of your lungs decreases. When that happens, less oxygen gets into your body tissues, and it becomes harder to get rid of the waste gas carbon dioxide.

- Teaching- Patient Education:

• Quit smoking

• Learning proper inhalation technique

• Pulmonary rehabilitation

• Preventing and treating Infections

• Nutrition

• Regular Monitoring