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Tag: rehabilitation (pulmonary)

Exercise Limitations in COPD — More Inhalers?
Fitness

Exercise Limitations in COPD — More Inhalers?

Chronic obstructive pulmonary disease (COPD) is defined by airway obstruction and alveolar damage caused by exposure to noxious air particles. The physiologic results include varying degrees of gas-exchange abnormality and mechanical respiratory limitation, often in the form of dynamic hyperinflation. There's a third major contributor, though ─ dyspnea. That's right, skeletal muscle deconditioning. Only one of these abnormalities responds to inhalers. When your patients with COPD report dyspnea or exercise intolerance, what do you do? Do you attempt to determine its character to pinpoint its origin? Do you quiz them about their baseline activity levels to quantify their conditioning? I bet you get right to the point and order a cardiopulmonary exercise test (CPET). That way...