Diagnóstico y tratamiento en un paciente con enfermedad pulmonar obstructiva crónica y comorbilidades.

Abstract

Respiratory diseases include a wide variety of conditions, in this work we will talk especially about chronic obstructive pulmonary disease (COPD). COPD has a high prevalence and mortality rate worldwide, it is characterized by airflow limitation that is not reversible, its main cause is tobacco smoke, it is a heterogeneous disease that is usually accompanied by comorbidities that condition the quality of life. life and aging of those who suffer from it. The general objective of this research was to establish a correct diagnosis and treatment in a smoker patient with grade I obesity and arterial hypertension, the methodology used consisted of a descriptive study of information gathering in scientific articles, clinical guides and web pages, which allowed the resolution of the proposed clinical case. Based on the research carried out, it was defined that the patient suffered from COPD, with moderate severity (GOLD2) according to GOLD. According to the GesEPOC, he was a high risk patient with an exacerbator phenotype with chronic bronchitis. The treatment that will consist of long-acting bronchodilators, plus phosphodiesterase 4 inhibitors (Roflumilast) and macrolides. In addition, a non-pharmacological treatment that includes quitting tobacco, vaccination, correct nutrition and exercise may be possible.