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to get the exact pathophys i would just copy and paste from any reputable site (webmd) etc
when it comes to the medical parts...effective admin of an inhalant can be enhanced most with a nebulizer machine and next by attaching a spacer to the end of the mdi this is a chamber that attached to the mdi and allows more particals to be absorbed (used most in peds)
after a steroid inhaler always rinse mouth with water or brush teeth and tongue if possible as this reduces risk of thrush with steroid in mouth
a systemic steroid is tapered to discontinue so as not to cause steroid shock/adrenal shock, this is done over 5 days in short tapers but slowly if the patient has been on long term and monitored the dose drop with symptoms
The pathophysiology of COPD (copied and pasted) thus includes the narrowing of the airways, damage to the lungs and other supportive tissues, hyperactivity of the lungs, dysfunction of the cilia in the airways and constant damage of the alveolar walls. As the COPD condition progresses, patients of COPD manifest wheezing, productive cough, difficulty in clearing alveoli and shortness of breath (dyspnea). As the pressure in the chest increases, the patient faces more difficulty during exhaling air, rather than inhalation.
i see you are offline but this should do it
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