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Related Concept Videos

Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
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COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Chronic Obstructive Pulmonary Disease-I: Introduction01:20

Chronic Obstructive Pulmonary Disease-I: Introduction

Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...

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Related Experiment Video

Updated: Jun 6, 2026

Ginger Moxibustion, A Non-pharmacological Treatment, for Diarrhea in Patients with Chronic Obstructive Pulmonary Disease
03:25

Ginger Moxibustion, A Non-pharmacological Treatment, for Diarrhea in Patients with Chronic Obstructive Pulmonary Disease

Published on: December 27, 2024

[Management of chronic cough].

A Noseda1

  • 1Clinique de Pneumologie, C.H.U. Brugmann, Service de Pneumologie, Bruxelles. andre.noseda@chu-brugmann.be

Revue Medicale De Bruxelles
|November 25, 2010
PubMed
Summary

Chronic cough, lasting over 8 weeks, presents diagnostic challenges. Effective treatments include smoking cessation, discontinuing ACE inhibitors, and inhaled steroids for eosinophilic cough.

Area of Science:

  • Pulmonology
  • Allergy and Immunology
  • Gastroenterology

Context:

  • Chronic cough (lasting >8 weeks) is a common and challenging clinical problem.
  • Traditional diagnostic algorithms (e.g., Irwin's) have limitations in clinical practice.
  • Recent approaches emphasize non-specific cough hyperreactivity.

Purpose:

  • To review diagnostic challenges and treatment strategies for chronic cough.
  • To highlight limitations of existing diagnostic algorithms.
  • To discuss effective interventions and future research directions.

Summary:

  • The diagnosis of chronic cough has evolved, with initial algorithms focusing on asthma, chronic rhino-sinusitis, and gastroesophageal reflux, later including eosinophilic bronchitis.
  • Current understanding suggests non-specific cough hyperreactivity plays a key role, with other factors potentially modulating it.

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  • Quantitative assessment using tools like visual analogue scales or quality of life questionnaires is recommended for severe or persistent cough.
  • Definitive treatments include smoking cessation and discontinuing ACE inhibitors. Inhaled steroids are effective for eosinophilic cough (identified by sputum eosinophilia or elevated exhaled nitric oxide).
  • For refractory chronic cough, antitussive agents are considered, though codeine shows limited efficacy, necessitating research into novel agents.

    • Impact:

    • Provides a concise overview of chronic cough diagnosis and management.
    • Highlights the importance of updated diagnostic approaches and quantitative assessment.
    • Emphasizes evidence-based treatments and identifies areas for future therapeutic development.