Treatment of mild chronic obstructive pulmonary disease (COPD).

Treatment of mild chronic obstructive pulmonary disease (COPD).

Treatment of chronic obstructive pulmonary disease(COPD).

Mild COPD

Mild COPD (Chronic Obstructive Pulmonary Disease) is an early stage of this progressive lung condition. It typically involves some airflow limitation and symptoms such as a chronic cough and shortness of breath, especially during physical activity. People with mild COPD might not experience severe symptoms, but it’s important to manage the condition to prevent it from worsening.

Treatment usually involves lifestyle changes, like quitting smoking if you’re a smoker, and sometimes medications to help with symptoms. Regular check-ups with your healthcare provider are crucial to monitor the condition and adjust treatment as needed. If you have specific concerns or symptoms, it’s best to consult with a healthcare professional for personalized advice.

Pharmacological and non-pharmacological both treatments are required simultaneously to get better effect from COPD disease condition.

Pharmacological treatment

Note : All  medication of COPD are only for adult person who are above 16 years old.

The pharmacological treatment are depend on three different stage of COPD patient according to their severity. Basically COPD stage are three types according to severity.

They are –

1. Mild COPD
2. Moderate COPD
3. Sever COPD

 Mild COPD patient’s treatment

Symptoms

Physical finding

• Cough may produce or not
• Dyspnea may occurred or not
• Sputum production or not

 

Blood test

1. Polycythemia
2. WBC count may increase due to infection.
3. Arterial blood gas studies

!. PaO2 level may decrease or not ( 45 to 60 mm Hg) !!. PaCO2 level may Increase or not ( 30 to 60 mm Hg) !!!. Decrease arterial pH

Spirometer test

1. FEV1/FVC < 70%
2. Increase residual lung volume
3. Decrease vital capacity (VC)
4. Decrease FEV1 <80%

Heart function test

a.Tachycardia may shown

Medication

      1.1.    Short acting β2 agonist

Eg. Albuterol

Dose

Nebulization:

2.5 mg with 3 ml 0.9N NaCl solution three to four times a day, over approximately 5 to 15 minutes by nebulizer machine.

DPI:  1 to 2 inhalation each contain 180 mcq orally every 4 to 6 hours. Or

1.2. Short acting anticholinergic

Eg. Ipratropium Dose Nebulization: 500 mcg with 3 ml 0.9N NaCl solution three to four times a day, over approximately 5 to 15 minutes by nebulizer machine.

MDI: One or two puff (20 mcg/puff) three or four times a day. Or

     1.3. Combination of long acting β2 agonist and Short acting anticholinergic.

Eg. Salbutamol + Ipratropium       Dose :

Nebulization:

Salbutamol + Ipratropium (2.5 mg + 500 mcg ) with 3 ml 0.9N NaCl solution three to four times a day, over approximately 5 to 15 minutes by nebulizer machine.

MDI:

One or two puff {Salbutamol + Ipratropium (20 mcg + 100 mcg )} two or three  times a day. Indication: You can take any one of three above medication for 5 to 7 days or when exacerbation occurred. You should take or one or two puff as MDI 30 min before starting exercise.

Note: I suggest taking 1.3 no medicine of above should better choice of you.

Note:  patient with potentially fatal COPD should be quickly  identify and aggressively managed Need to hospitalization.

Prevention and treatment of mild chronic obstructive pulmonary disease ( COPD).

Exercise-induced bronchospasm (EIB )

You can prevent exacerbation Due to exercise By using medication .

1.1, Short acting beta agonist ( eg. Albuterol) Should be administered 15 minutes before exercise.

1.2,  long acting  beta agonist and formoterol should be administered 30 to 60 mins  before exercise.

Concurrent disease

Allergic rhinitis sinusitis and Gastroesophageal Reflux disease (GERD),  vocal cord dysfunction and obstructive sleep apnea  frequently coexist with asthma. It should be better to management of this concurrent disease by medication with chronic obstructive pulmonary disease treatment.

2.1. For Gastroesophageal Reflux disease  Medication should be use  such as PPI (eg. esomeprazol, Pantoprazol) or H2 receptor antagonist (eg, Famotidin)

2.2. For allergic rhinitis medication should be used such as antihistamine ( eg. rupatidin. cetirizine)   There are more different factors which may affect chronic obstructive pulmonary disease condition. To prevent COPD we should know well about chronic obstructive pulmonary disease causes and symptoms.

Now I am giving some direct prescription that you may use according to your physical condition. Here lots of medicine are use for mild COPD but i have suggested most effective and cheap medicine all over the world.

All prescription are for adult patients above age 16 years old.

Prescription No 1 :

 

Here you should add 0.9N NaCl solution and total medication ratio should be 1:1:1.

Now this medication use with nebulization for 20 minutes interval until the symptoms disappeared or daily times for 7 days.  If after 7 days symptoms are not disappeared you may extend it for more than 7 days or use when needed.

Who can’t use Prescription No 1 . Who are-

• High level arrhythmic patient ( heart rate more than 115)

With concern and may reduce the dose you may use prescription no 1.

Or you may use Prescription No 2 as a inhaler dose. 

Or you may use Prescription No 3 as a combination of inhaler dose. 

  Two puffs 2 times daily  for 7 days with other medicine as per rule.  If after 7 days symptoms are not disappeared you may extend it for more than 7 days or use when needed.

Who can’t use Prescription No 3 . Who are-

• High level arrhythmic patient ( heart rate more than 115)

With concern and may reduce the dose you may use prescription no 3.

Note: If you don’t feel well you can take the prescription that are for moderate COPD patients. Beside the taking medication you should take exercise regularly.

Exercise

It is very important to take a deep breathing exercise 30 to 40 minutes a day that may improve asthma or COPD condition. Here I am suggesting a powerful deep breathing exercise that you may take regularly.

At first

You should sit on floor with folding leg then take breath and relax 30 to 40 times a minute for 10 minutes.

2^nd

You should sit on floor with folding leg then take breath and relax 10 to 20 times a minute for 10 minutes.

3^rd

You should sit on floor with folding leg then take breath and relax 3 to 5 times a minute for 10 minutes.

Advice

• That foods make COPD you should always avoid that foods and habits.
• Avoid allergens (  eg. Pollen,  house dust mite,  animal dander,  mould,  cockroach,  food)Avoid
• Avoid occupational exposure ( eg.  chemical  irritants,  frour , wood,  textile dusts.)
• Immediate treatment viral respiratory tract infection.
• Should control exercise or use medicine before it begun.
• Should control your emotions ( eg,  anxiety, Stress,  hard laughter,  crying).
• Should avoid exposure to irritants ( eg.Strong orders,  chemicals,   fumes ).
• Should avoid environmental exposure (  weather changes,  cold air,  Sulphur dioxide,  cigarette smoke ).
• Should control using drugs like NSAID ( Aspirin,  Ibuprofen etc ), Antiadrenergic and cholinergic drugs( eg.  beta adrenergic blockers,   Botanical).

Note: If you suffer sever COPD attack and don’t control at home you should go hospital immediately.

If anyone want to more information please send to me your question through the given email address.

Email address: mallicktarun@rocketmail.com For getting treatment base suggestion please contact or request an appointment.

You may also visit you tube video channel that may helpful to you.

Thanks.