Definition
The patient naturally purses their lips during exhalation because it
increases their positive end expiratory pressure allowing them to
breath out more air, decreasing air trapping and hyperinflation
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What systemic effects can occur as What effect does air trapping and
a result? gas exchange abnormalities have?
What is the main thing that leads to What benefits do pursed lips
COPD? provide?
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, Term
What are some late stage physical signs and symptoms?
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1. Chronic inflammatory response Cyanosis/hypoxemic
2. Airflow limitation extremities; lips & fingertips
3. Progressive disease (along with clubbing)
4. Exacerbations and comorbidities
contribute Use of accessory muscles
Dyspnea: progressive & worse with
exercise 1. Airflow limitation & air trapping
2. Gas exchange abnormalities
Chronic cough: intermittent &
unproductive 3. Mucus hypersecretion
4. Pulmonary hypertension
Increased sputum production
5. Systemic effects
Pursed lips
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What are the 5 physiological changes that occur due to COPD?
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1. Chronic inflammation that causes
1. Hyperinflation
structural changes/narrowing within