Chapter 6 Selected Diseases and Disorders of the Respiratory System
Respiratory Diseases – Recommended Prevention Strategies and Common Treatments
Zoë Soon
What are the Recommended Prevention Strategies and Common Treatments for Respiratory Diseases?
Preventive Strategies:
- Avoid Irritants: Minimize exposure to cigarette smoke, industrial pollutants, and other inhaled irritants to prevent chronic lung damage.
- Maintain Good Ventilation: Ensure proper airflow in living and working environments.
- Vaccinations:
- Flu shot annually to prevent influenza, which can lead to pneumonia.
- Pneumococcal vaccine for those over 65 to protect against bacterial pneumonia.
- Humidification: Keep the environment moist to protect alveoli and facilitate mucus clearance.
- Humidifier Use & Croup Tents: Use humidifiers or croup tents (humidifier + blanket) to loosen thick mucus, especially in children with upper respiratory infections.
- Adding moisture to the air can help thin secretions, making them easier to expel. Recommended for use in the bedroom, where much time is spent.
- Healthy Lifestyle & Exercise: Engage in moderate daily exercise (walking, swimming) to strengthen respiratory and cardiac health.
- Mucus Clearance: Techniques like pursed-lip breathing, chest physiotherapy, percussion, and postural drainage help remove mucus plugs and prevent infections.
Treatment Approaches:
- Oxygen Therapy:
- Nasal cannula, face masks, or mechanical ventilators to ensure adequate oxygen delivery to tissues.
- Pharmacological Treatments:
- Decongestants: Vasoconstrictors to reduce blood vessel dilation and secretions during colds or allergies.
- Expectorants: Thin and watery mucus (e.g., guaifenesin) to facilitate removal.
- Antitussives: Suppress cough reflex; caution advised especially with narcotics like codeine due to side effects.
- Antihistamines: Block histamine receptors to reduce allergy-related inflammation and secretions.
- Analgesics: Pain relief (e.g., acetaminophen).
- Antimicrobials: Antibiotics for bacterial infections, antivirals for viral infections, and specific treatments like the cocktail used for tuberculosis.
- Bronchodilators: Stimulate beta-2 receptors, relax airway muscles, and improve airflow in asthma.
- Glucocorticoids: Reduce inflammation in lungs.
- Procedures:
- Thoracentesis: Remove excess fluid from pleural space to prevent lung collapse and analyze the fluid for infection or malignancy.
- Surgical Removal:
- Resection: Remove damaged tissue or abscesses.
- Lobectomy: Remove a lung lobe, often performed for tumors or severe damage.
- Management of Pleurisy and Atelectasis:
- Fluids in pleural cavity are aspirated to prevent lung collapse.
- Surgery may be required if lung collapse (atelectasis) occurs due to fluid build-up.
- Emergency and Supportive Measures:
Tracheotomy: Incision into the trachea for airway management, especially in choking or brain injury cases requiring long-term ventilation.
Summary:
Prevention focuses on avoiding irritants, vaccinations, and maintaining lung health via environmental controls and lifestyle. Treatments include supportive oxygen therapy, medications to manage symptoms, and surgical interventions when necessary to remove damaged tissue or correct complications like lung collapse or tumors.