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ApexRespiratory

Specialty Hub

Pulmonary Diseases

The diseases that fill RT shifts — from COPD, asthma, and ARDS to pneumonia, pulmonary embolism, and pneumothorax, plus the chronic and restrictive diseases (cystic fibrosis, bronchiectasis, interstitial lung disease, and pulmonary hypertension) — with management guides, references, and the comparison charts that keep the lookalikes straight.

10 Guides3 References3 Charts

Guides

Management of the obstructive, infectious, vascular, and chronic lung diseases.

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Illustration of emphysema showing enlarged, damaged alveolar air sacs

COPD Exacerbation Management

11 min

How RTs assess and manage an acute COPD exacerbation — controlled oxygen to 88–92%, combined SABA/SAMA bronchodilators, steroids, antibiotics, and NIV for hypercapnic respiratory acidosis.

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Cross-section illustration of an inflamed, narrowed bronchus in asthma

Asthma Exacerbation Management

10 min

Severity assessment and treatment of an acute asthma exacerbation — high-dose SABA, ipratropium, early steroids, oxygen, and the ominous signs of impending respiratory failure that a normal CO₂ can hide.

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Illustration of pulmonary edema — fluid-filled alveoli impairing gas exchange, as in ARDS

ARDS Basics

11 min

The Berlin definition, pathophysiology, and lung-protective ventilation of ARDS — 6 mL/kg of predicted body weight, plateau ≤ 30 cmH₂O, permissive hypercapnia, PEEP titration, and prone positioning.

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Pneumonia: CAP, HAP, and VAP

11 min

Clinical guide to community-acquired, hospital-acquired, and ventilator-associated pneumonia: pathophysiology, severity scoring with CURB-65, assessment findings, and RT management priorities including oxygenation targets and VAP prevention.

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Pulmonary Embolism

11 min

Pulmonary embolism obstructs the pulmonary arterial circulation, creating alveolar dead space, V/Q mismatch, and acute RV strain. Covers Virchow's triad, the PERC rule, capnography changes, risk stratification, and RT priorities for massive and submassive PE.

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Pneumothorax and Chest Tube Management

11 min

Covers the full pneumothorax spectrum from primary spontaneous to tension, plus three-chamber drainage system management, air-leak troubleshooting, and ventilator barotrauma prevention for respiratory therapists.

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Cystic Fibrosis

11 min

A clinical guide to cystic fibrosis covering CFTR pathophysiology, sweat chloride diagnosis, daily airway clearance techniques, the correct inhaled therapy sequence, and disease-modifying CFTR modulators for respiratory therapists.

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Bronchiectasis

10 min

A clinical guide to non-CF bronchiectasis covering the vicious cycle of infection and inflammation, HRCT diagnosis with the signet-ring sign, daily airway clearance techniques, mucoactive therapy, and antibiotic strategies for stable disease and exacerbations.

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Interstitial Lung Disease and Pulmonary Fibrosis

11 min

Interstitial lung disease inflames and scars the lung interstitium, producing a restrictive defect with impaired diffusion. Covers IPF, the UIP pattern, oxygen therapy, antifibrotic awareness, and PFT interpretation for respiratory therapists.

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Pulmonary Hypertension

11 min

Pulmonary hypertension is elevated pressure in the pulmonary circulation that strains and ultimately fails the right ventricle. Covers the WHO five-group classification, hemodynamic definition, the diagnostic role of right heart catheterization, and why group-specific therapy matters.

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Interactive Practice

Practice Tools

Interpret the gases and quantify the oxygenation behind every exacerbation.

Related Specialties

Pulmonary disease management connects directly to these areas.