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Terms in this set (300)
1. Reduced physiological reserve of most
body systems, esp. cardiac, resp, renal.
What are the 3 2. Reduced homeostatic mechanisms that
primary fail to adjust regulatory systems (i.e. temp
physiological control, fluid/lyte balance, etc.).
changes of aging?
3. Impaired immunological function
(infection risk is greater, autoimmune dz's
more prevalent)
What is the 30min/day 5 days/wk of moderate
preferred amount exercise.
of exercise for
elderly? If trying to lose wt: 60min/day.
, Group of tests that provide quantifiable
measurement of lung function, used to dx
What are PFTs?
resp abnormalities or assess
progression/resolution of lung dz.
Forced Expiratory Volume in 1 second (80-
What is FEV1?
120%)
What is FVC? Forced Vital Capacity (80-120%)
What is normal <0.7 (70%)
FEV1/FVC ratio?
What is GOLD 1 Mild
criteria? FEV1 >/= 80% predicted
What is GOLD 2 Moderate
criteria? FEV1 50-79% predicted
What is GOLD 3 Severe
criteria? FEV1 30-49% predicted
What is GOLD 4 Very severe
criteria? FEV1 <30% predicted
Dyspnea
What are the signal
Chronic cough w/sputum
symptoms of
Decreased activity tolerance
COPD?
Wheezing
, Common, preventable, treatable.
Characterized by persistent airflow
limitation.
Usually progressive, associated with
What are enhanced chronic inflammatory response
characteristics of in airways and lungs to noxious
COPD? particles/gases
Airway fibrosis, luminal plugs, airway
inflammation, increased airway resistance,
small airway dz.
Decreased elastic recoil of alveoli.
Smoking (increasing w/number of pack
years)
What are risk
Second hand smoke
factors for COPD?
Environmental pollution (endotoxins, coal
dust, mineral dust)
May be normal in early states
As severity progresses: lung
What is seen on hyperinflation, decreased breath sounds,
phys exam in wheezes at bases, distant heart tones (b/c
COPD? of hyperinflation, so S1/S2 sounds off in
distance), accessory muscle use, pursed
lip breathing, increased expiratory phase,
neck vein distention.