1. Chronic Obstructive Pulmonary Disease
-COPD-

2. opjectives The Definition Of COPD Facts about COPD
Risk Factors for COPD
Pathophysiology DX
Sing&symptoms RX
Objectives of COPD Management
Management

3. The Definition Of COPD Chronic obstructive pulmonary disease
(COPD) is a disease state characterized by airflow limitation that is not fully
reversible. The airflow limitation is usually
both progressive and associated with an
abnormal inflammatory response of the
lungs to noxious particles or gases.

4. Facts About COPD Cigarette smoking is the primary cause of COPD.
In the US 47.2 million people (28% of men and 23% of women) smoke.
The WHO estimates 1.1 billion smokers worldwide, increasing to 1.6 billion by In low- and middle-income countries, rates are increasing at an alarming rate.

5. Risk Factors for COPD
Host Factors: Genes (e.g. alpha1-antitrypsin deficiency)
Hyperresponsiveness
Lung growth
Exposure Tobacco smoke
Occupational dusts and chemicals
Infections
Socioeconomic status

6. NOXIOUS AGENT (tobacco smoke, pollutants, occupational agent)
PATHOPHYSIOLOGY
NOXIOUS AGENT (tobacco smoke, pollutants, occupational agent)
Genetic factors
Respiratory infection
Others
COPD

8. Diagnosis of COPD Spirometry symptoms Exposure to risk factors Cough
Sputum
dyspnea
Tobacco
Occupation
Pollution
Spirometry

9. RX: >>Bronchodilators<< …β2 agonists… …Anticholinergics…
…Corticosteroids…

10. Objectives of COPD Management…
Prevent disease progression
Relieve symptoms
Improve exercise tolerance
Improve health status
Prevent and treat exacerbations
Prevent and treat complications
Reduce mortality
Minimize side effects from treatment

11. >>>>Management<<<<
>Risk factor reduction<
>>cessation Smoking
>>Occupational health
>>Air pollution
…Supplemental oxygen…
…Pulmonary rehabilitation…
… Nutrition…

12. Thank you.