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02.respiratory notes

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Dental Management of Patients with Respiratory Disease  -Most common respiratory disease is Airway disease and Chronic infectious disease . -Asthma and tuberculosis fall under a category called chronic obstructive airway disease (COPD ) -Most chronic infectious disease is tuberculosis .. -COPD : chronic irreversible airflow limitation .. -How to differentiate between Asthma and COPD? 1-Pulmonary function: you’ll find that the patient has airway obstruction 2-reversibility : give the patient a bronchodilator ( beta2 agonist ) and recheck the function test once again .. If it is reversible = then the patient has Asthma If irreversible ( the airway obstruction is fixed and the bronchi can’t be dilated ) the patient has COPD . Pulmonary function = the actual values the patient score / the predicted value by the computer = --% The value of the irreversibility 12% from the basal of the patient. when you do the pulmonary function you have to take the patients weight and age and insert those data into the computer to calculate the (basal or the predicted value) then the patient do the test and you calculate how much patient got from the expected values .. For example patient is 80 kg and is 60 years old the computer will calculate the expected values that the patient should get using those data .. then we do the test for the patient and see how much he was able to score out of the expected value that the computer estimated .. After we are done with the test we give the patient a bronchodilator and see if the values changes this means that the disease he has is reversible and it is asthma .. Normally ubove 80% if less than 80% do the irreversibility test COPD : 2 main diseases 1-chronic bronchitis : chronic cough with expatriation for at least 3 months for 2 successive years 2- emphysema : permanent ( irreversible ) abnormal dilatation of the air spaces distal to the respiratory bronchiole ( in the alveoli ) which is the last part of the bronchus where gas exchange occur ..

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