We would like to think that dyspnea, like pain, serves as an early-warning sign of developing disease, respiratory or cardiac. To be effective as an early-warning. 2 presents the PA chest X-ray of the Blue Bloater patient on the left and the Pink Puffer patient on the right. Notice both the enlarged cardiac silhouette and. Abstract. Breathlessness, disability, and exercise tolerance were assessed in 26 patients with severe chronic airflow limitation (forced expiratory volume in one.
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Listed here are some older terms used to describe COPDers. Rarely are they seen in medical literature these days. They usually present with shortness of breath and they blje a chronic cough. By blue, we mean the skin around their lips and fingertips. Today we refer to the bluish-colored skin as cyanosis. When blood oxygen levels are low, your body naturally shunts blood from non-vital organs fingertips and lips to vital organs lungs, heart, and brain.
This is a good mechanism, as it is sometimes needed to keep us alive. A sign of this happening is cyanosis. They are also overweight and have swollen feet, anklesand legs. They may also have large neck veins.
Today we know these are signs of right heart failure or cor pulmonale. This happens when the heart poops out after years of pumping blood through diseased lungs. There are three potential puffeg the term blue bloater is rarely used today. One is science has given us more accurate terms, like cyanosis and chronic bronchitis. Two is because most people with cyanosis are treated with supplemental oxygen.
So, this makes sure their oxygen levels stay up and their skin stays pink. So, it has been phased out as an acceptable medical term. You will rarely see it used in modern medical literature. They usually present with shortness of breath and pursed lip breathing. By pink, we mean the color of their skin. Like blue bloaters, they have trouble oxygenating.
But, their bodies compensate for this by bloaetr respiratory rate.
This assures upffer tissues are adequately oxygenated. But, because they are breathing so fast, this makes their skin look pink.
They usually have large chests. This used to be called a barrel chest.
Take in a deep breath and hold it. This is what a barrel chest looks like. It gives the appearance of a barrel, hence the name. It happens when air gets trapped inside your lungs.
Air gets in but some of this air cannot get back out. So, this is a common feature of severe emphysema. They also use pursed lips. This is an effort to slow down their expiratory phase.
This is needed to help them get air out of their lungs. It can help them feel less short of breath. It is now understood that most people with COPD have a combination of both emphysema and chronic bronchitis.
So, this kind of makes old terms like blue bloater and pink puffer obsolete. They have become inaccurate stereotypes.
Are “pink puffers” more breathless than “blue bloaters”?
But, if you come across these terms in old literature, bleu you know what they mean. Good news – you’re already subscribed! Let us know at contact COPD. Try again or let us know at contact COPD.
Chronic obstructive pulmonary disease.
Having only been diagnosed 3 years ago, I have read about these terms but have never heard a doctor say it. Good to see this pimk terminology again…. Are we showing our age??? Best, Leon site moderator. I actually got the idea when a friend who just graduated RT school gave me all his RT books. All my books are dated from the s, so I needed some updated versions. I was actually piffer to see it in a new edition.
Hey John — that is interesting. I guess they keep it in for more of an historical perspective. Twitter Created with Sketch.
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Learn more about how we maintain editorial integrity here. Physician Assistant Exam for Dummies. You must be a member to comment. Log in now to comment. KevinDavitt 3 weeks ago. Log in to Reply Cancel reply.
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