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Emphysema : Obstructive Definition, Clinical Evidence, Chest Xray, CBC, ABG, PFT & Key interventions **EXAM Challenge: You may be tempted to utilize high FiO2 because of the severity of hypoxemia. You may also be tested with an emergency, the only time it is appropriate to use 100% O2 on a COPD patient CORRECT ANSWER-D: Abnormal condition of the alveoli resulting destruction and loss of elasticity C.E.: Barrel chest, Access. musc. use, Clubbing, Smoking hx, Occupational hazard (smoke, asbestos, other pulm. irritant) XR: ^ AP diameter, flattened diaphragm, hyperlucency, diminished pulmonary markings. CBC: Polycythemia, ^ WBC - possible infection ABG: Comp. Resp. Acidosis (H PaCO2, N pH) & Hypoxemia PFT: flows are decreased (FEF 25-75% & FEV1), wheeze, dim. K.I.: O2 (L FiO2 0.24-0.28), Liq. O2 or trans-trach cannula, home care education, aids to quit smoking, bronchodilators & corticosteroids Chronic Bronchitis : Obstructive Definition, Clinical Evidence, Chest xray, CBC, ABG,PFT & Key interventions **EXAM Challenge: The most distinguishing characteristic is that the cough is productive and has been so for a good


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