Smoking and inflammation enlarge the mucous glands that line airway walls in the lungs. Additionally, inflammation associated with COPD causes damage to the mucociliary transport system which is responsible for clearing mucus from the airways. Both these factors contribute to excess mucus in the airways which eventually accumulates, blocking them and worsening airflow. The tissue damage is not reversible and increases in severity over time, eventually leading to respiratory failure. IGGY PAGE 601. While cigarette smo...
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...re in the airways and prevents the small airways from collapsing. Controlled coughing will allow the patient to clear secretions, this is most effective when done upon awakening and going to sleep.
The expected and optimal outcomes for the patient with COPD, are to maintain a patent airway, decrease anxiety, have an acceptable level of activity, achieve and maintain an ideal body weight, and avoid serious respiratory infections. Theses outcomes can only be realistic by compliance of the patient, and with the help of family, friends, and the healthcare team. Early diagnosis and understanding of the disease are crucial for the patient to try and remain in their current health status.
Source: Chronic obstructive pulmonary disease | University of Maryland Medical Center http://umm.edu/health/medical/reports/articles/chronic-obstructive-pulmonary-disease#ixzz3Rx3mKUzL
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