Clinician's Guide to Chronic Obstructive Pulmonary Disease (Hodder Arnold Publication) PDF
Preview Clinician's Guide to Chronic Obstructive Pulmonary Disease (Hodder Arnold Publication)
CLINICIANS’ GUIDE TO CHRONIC OBSTRUCTIVE PULMONARY DISEASE This page intentionally left blank CLINICIANS’ GUIDE TO CHRONIC OBSTRUCTIVE PULMONARY DISEASE Timothy Q. Howes MA MBBS MRCPI MD Consultant Respiratory Physician Department of Respiratory Medicine, Colchester General Hospital, Colchester, UK With a contribution from David Bellamy MBE General Practitioner Bournemouth, UK Hodder Arnold AMEMBER OF THE HODDER HEADLINE GROUP First published in Great Britain in 2005 by Hodder Arnold, an imprint of Hodder Education, a member of the Hodder Headline Group, 338 Euston Road, London NW1 3BH http://www.hoddereducation.com Distributed in the United States of America by Oxford University Press Inc., 198 Madison Avenue, New York, NY10016 Oxford is a registered trademark of Oxford University Press © 2005 Timothy Q. Howes All rights reserved. Apart from any use permitted under UK copyright law, this publication may only be reproduced, stored or transmitted, in any form, or by any means with prior permission in writing of the publishers or in the case of reprographic production in accordance with the terms of licences issued by the Copyright Licensing Agency. In the United Kingdom such licences are issued by the Copyright Licensing Agency: 90 Tottenham Court Road, London W1T 4LP. Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In particular, (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies’ printed instructions before administering any of the drugs recommended in this book. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN-10: 0 340 816 953 ISBN-13: 978 0340 816 953 1 2 3 4 5 6 7 8 9 10 Commissioning Editor: Joanna Koster Project Editor: Heather Fyfe Production Controller: Lindsay Smith Cover Design: Sarah Rees Typeset in 11/13.5 Adobe Jenson by Charon Tec Pvt. Ltd, Chennai, India www.charontec.com Printed and bound in Italy What do you think about this book? Or any other Hodder Arnold title? Please send your comments to www.hoddereducation.com CONTENTS Preface vii Acknowledgements ix List of abbreviations xi 1. Definition and pathophysiology 1 2. Epidemiology of chronic obstructive pulmonary disease 13 3. Clinical diagnosis of chronic obstructive pulmonary disease 23 4. Disease prevention 41 5. Medical management 49 6. Chronic obstructive pulmonary disease exacerbations 81 7. Outcome measures 97 8. Chronic obstructive pulmonary disease at the primary–secondary care interface 105 9. Case studies 119 Index 123 This page intentionally left blank PREFACE Chronic Obstructive Pulmonary Disease,Chronic Obstructive Airways Disease,Chronic Bronchitis with Empysema,Chronic Airflow Limitation.The name changes but the dis- ease goes on.Until recently the condition has hidden under the coat tails ofasthma,but released from this constraint the momentum in this area ofinterest seems unstoppable. It is likely that this little book will be out ofdate in some areas almost before it is writ- ten.We hope however that it will offer a background for junior doctors and general prac- titioners as well as nurses and physiotherapists interested in respiratory disease.This condition is now ofgreat interest to health economists and planners and it is hoped that they too will find subjects ofinterest. The book has sections on the management ofchronic disease and acute exacerbations and a section on the management of patients in general practice.There are many sec- tions of interest to specialist nurses and physiotherapists who are shouldering an increasing burden ofthese patients in pulmonary rehabilitation sessions. An attempt has been made to improve the flow of the text by removing references from the text and at the end ofeach chapter and adding a reading list for those readers needing further information in a particular area ofinterest.As progress in this field is so rapid,it is hoped that this will help readers to keep their knowledge up to date during the life ofthe text. This page intentionally left blank ACKNOWLEDGEMENTS Dr Howes is grateful for the support ofall ofthe team at the publishers.They have been very tolerant ofever slipping deadlines and unexpected difficulties.Great thanks are also due to Professor Wisia Wedzicha at St Bartholomew’s Hospital for constant advice. Dr Howes is particularly grateful to his secretary Angela Humphreys for her help.
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