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Comparison of Chronic Asthma and COPD Management 2016

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Asthma
Comparison of Chronic ... Asthma and COPD ... Management 2016 ... #Comparison #Chronic ... #Pulmonary
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
Oxygen Delivery ... rishikumarmd #Oxygen ... Delivery #Systems #respiratory ... support #devices #management ... #pulmonary #comparison
COPD Exacerbations - Management
 • Identify Triggers
 • Assess Severity
 • Risk for Poor Outcomes
 •
COPD Exacerbations ... - Management ... (Supplemental oxygen ... @PulmPEEPs #COPD ... #treatment #pulmonary
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
weakness (defined as low ... pressure or low ... phosphorus is seen in COPD ... patients with COPD ... pathophysiology #pulmonary
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Oxygen Delivery ... Mask • High-Flow ... @DharSaty #Oxygen ... Methods #devices #respiratory ... #pulmonary #management
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... or ARDS → High-Flow ... #Failure #management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory ... DECREASED INSPIRED OXYGEN ... • Low PATM Can ... Pneumonia, asthma, COPD ... , pulmonary embolus
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... 70%, Scooped out expiratory ... , Low peak expiratory ... #comparison #Diagnosis ... #pulmonary
Oxygen Therapy Devices
 • Nasal Cannula
 • High Flow Nasal Cannula
 • Facemask / Non-rebreather
 •
Oxygen Therapy Devices ... Cannula • High Flow ... Intubation #Oxygen ... #Devices #Management ... #Respiratory #Therapy
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... clinical #video #physicalexam ... #respiratory #pulmonary ... breathing #Trachea #COPD