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Disease CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
   
Quotation “If I could get through March” said Mr. Johnsons the oldest tenant, “I usually live till the end of the year.”
   
Definition COPD, a term usually referring to a combination of Chronic Bronchitis and Emphysema.
   
Prognosis Worse with advancing age, poor post-broncho-dilator FEV1, in those that continue to smoke, and in those in poor nutrition. Following initial episode of respiratory failure 5 year survival only 25%. Development of cor pulmonale, hypercapnia and persistent tachycardia are poor prognostic indicators.
   
Treatment