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Precipitating factors: ALCOHOL: consume 1 bottle/1 L DIET: increase salt, fat LIFESTYLE: sedentary , smokes 1 pack/day
Loss of elastin
Alveolar hypoxia
Thickened airways Constant Irritation Produced excess smooth muscles and connective tissues
Fibrosis Thickening of vessel wall Increase pressure in the chest Narrowing of airway lumen Right ventricular hypertophy
Edema
Difficulty exhalation
Airflow limitation
LEFT Manifestations Shortness of breath Use of accessory muscles when breathing Productive cough Rales Pale extremities fatigue
Inability to receive full systemic blood Increase amount of blood in left ventricle Decrease capacity to receive blood from left atrium Blood goes back to left atrium Increase left atrial workload Atrial dilation, remodeling, sympathetic activation Increase right ventricular workload Increase preload Right ventricular dilation, remodeling, sympathetic activation
RIGHT Manifestations Bipedal edema Distended Jugular neck veins @ 45 degree position Headache
Decrease capacity to receive blood from right atrium Blood goes back to right atrium
Fluid overload
Edema