Author/Editor		Košnik, Mitja
Title		Obravnava bolnika s KOPB in nove možnosti zdravljenja
Translated title		Patient with COPD and new chalanges in treatment
Type		članek
Source		In: Rotar-Pavlič D, editor. Kakovostna obravnava bolnika v družinski medicini: obravnava s področja pulmologije, psihiatrije, potovalne medicine in nevrologije. Zbornik predavanj 30. srečanje delovnih skupin; 2004 maj 28-29; Ljubljana. Ljubljana: Združenje zdravnikov družinske medicine,
Publication year		2004
Volume		str. 5-8
Language		slo
Abstract		The aim of the treatment of COPD patient is to reduce symptoms (breathlesness), frequency of exacerbations, the decline of lung function and to prolong survival. Regular inhalation of bronchodilators is the mainstay of drug therapy. Bronchodilator of choice is a long acting parasympathicolytic. Theophylline increases complication rate and causes side effects. Inhaled glucocorticoides slightly reduce frequency of exacerbations in patients with advanced disease. Oral glucocorticoides are prescribed for few days during COPD exacerbations. When during exacerbation patient expectorate more purulent sputum, antibiotic effective on S. pneumoniae, H. influenzae in M. Catarrhalis should be prescribed. Rehabilitation is more efficient than drugs. Giving up smoking cigarettes reduces the rate of decline of lung function. Long term success of quitting cigarettes is less than 10%. Nicotine patches and bupropion are useful for reducing abstinence symptoms. Long term oxygen therapy prolongs life of patients in respiratory insufficiency due to COPD.
Descriptors		LUNG DISEASES, OBSTRUCTIVE BRONCHODILATOR AGENTS GLUCOCORTICOIDS