Pulmonary

Nota:

• airway obstruction due to inflamation and bronchospasms 

1. Asthma (obstructive) has FVC, FEV1, % reduced

1. Fibrosis % is normal

Nota:

• chronic productive cough 

1. COPD
   1. Stages
      1. 1
      2. 2
      3. 3
      4. 4

Nota:

• enlargement of bronchioles; destruction of walls (usually from smoking) 

Nota:

• bind to B2 receptors on smooth airway muscles, to dialate. 

1. SABA

   Nota:

   • Short acting beta agonists  5-15 minutes work last for 3-6 hours use when needed before exercise
   1. Salbutamol
   2. Terbutaline
2. LABA

   Nota:

   • long acting beta agonists  slow acting, last 12 hours
   1. eformoterol
   2. salmeterol

Nota:

• act of muscarinic receptors in aiways. ...blocks action of ACT to cause dialition. ...dries up muscous 

1. ipratropium
2. tiotropium

Nota:

• work by increasing adrenergic stimulation of cell increases cAMP (messanger cells) to incrrease dilation  not regulary used ....lots of side effects

1. theophylline
2. aminophylline

Nota:

• used for asthma due to anti-inflamatory properties "preventor"

1. budesonide
2. fluticasone

1. FVC

   Nota:

   • forced vital capacity - amount of air exhaled after complete inspiration (normal M-4.8; F-3.2)
   1. FEV1/FVC Ratio

      Nota:

      • normal 85%
2. FEV1

   Nota:

   • forced expiratory volume in one second
3. PEF

   Nota:

   • peak expiratory flow 

1. BMI
3. Dsypnea
4. 6MWT

1. made need oxygen during exercise if below 88%

1. Aerobic
   1. 3-5 days
      1. dyspnea rating 4-6 optimal
      2. RPE 11-13
2. Resistense
   1. same as healthy people
3. Flexibility