- Exercise and COPD.

Exercise and COPD.

• Exercise and staying active are an important part of rehabilitation for chronic obstructive lung disease. 
• Regular exercise can help you feel less short of breath.
• Regular exercise improves your heart and muscles.
• It can help you feel good about yourself.

- How to use your Metered Dose Inhaler .

How to use your Metered Dose Inhaler .

Many patient don't know how to use MDI and their doctors don't learn them how to use it so it lead to non compliance to treatment and you will lose your patient,so we should learn our patient how to use MDI.

The following video is an excellent video showing us in simple steps how to use Metered Dose Inhaler.. you may need it to learn yourself and your patient.....

-Local Complications of pneumonia.

Local Complications of pneumonia
"Idea"

Incomplete resolution and followed by bronchiectasis later on.
Delayed resolution.
Pleural Effusion,Empyema.
Lung Abscess,ARDS and respiratory failure.

Dr Ibrahim

-Toxic Causes of respiratory Failure.

Toxic Causes of respiratory Failure

1-Central:-

• Alcohol
• Barbiturate
• Opiate

2-Peripheral:-

A-Airway obstruction:-

• Falling back of the tongue.
• Vomitus.
• Excessive Secretions e.g Organophosphurus,carbamate.
• Oedema of the air way e.g Irritant fumes,Chlorine gas.
• Laryngeal spasm (Cyanide).
• Pneumonia(Hydrocarbon aspiration).
• Bronchospasm(Organophosphurus).
• Pulmonray
• oedema(Organo-phosphurus).

b-Paralysis of respiratory muscles:-

• Botulinum toxins.
• Snake bite.
• post-convulsion muscle exhaust.
• Organophosphurus.

C-Neuromuscular blocker:-

Physostigmine,Neostigmine.

Dr Ibrahim