Adult Health 1 - Respiratory Disorders - COPD
Use of Steroid with Respiratory Disorder
Reduces airway inflammation
Use of Bronchodilator with Respiratory Disorder
Relax airway muscles
Mild COPD - use short acting bronchodilator
Severe COPD - use long acting bronchodilator
Advair and Symbacor - combination of long and short acting bronchodilators
Severe COPD
FEV1 <60%
2 ppd smoker x 38 yrs = ? pack year history
2 x 38 = 76
COPD and % oxygen
Around 93% is ideal, dont want to have 99% because they need a stimulus (lower O2 level) to have their
body breathe, otherwise they'd become too dependent.
COPD possible orders
Steroids (Prednisone) - reduces airway inflammation
Antibiotic (Azithromycin)
Albuterol (rescue drug to help breathing)
Atrovent (anticholinergic, often given with albuterol)
Vasotec (ACE inhibitor - treats HTN)
*COPD pts often have heart failure, keep tract of fluids
Use of Steroid with Respiratory Disorder
Reduces airway inflammation
Use of Bronchodilator with Respiratory Disorder
Relax airway muscles
Mild COPD - use short acting bronchodilator
Severe COPD - use long acting bronchodilator
Advair and Symbacor - combination of long and short acting bronchodilators
Severe COPD
FEV1 <60%
2 ppd smoker x 38 yrs = ? pack year history
2 x 38 = 76
COPD and % oxygen
Around 93% is ideal, dont want to have 99% because they need a stimulus (lower O2 level) to have their
body breathe, otherwise they'd become too dependent.
COPD possible orders
Steroids (Prednisone) - reduces airway inflammation
Antibiotic (Azithromycin)
Albuterol (rescue drug to help breathing)
Atrovent (anticholinergic, often given with albuterol)
Vasotec (ACE inhibitor - treats HTN)
*COPD pts often have heart failure, keep tract of fluids
