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The most important part of breathing is to get carbon dioxide out of the body and get oxygen into the body. On the walls of everyone's lungs are alveoli , small functional units of the lungs ( alveoli look like a cluster of grapes) which permit the transfer of oxygen and carbon dioxide into / out of the bloodstream. Without these we wouldn't be able to get that poisonous gas carbon dioxide out, nor get oxygen in. So without these two crossing we wouldn't be able to live. In some lung conditions, the alveloi collapse; they don't have the smooth, round surface of healthy alveoli. People with COPD have trouble getting CO2 out and getting O2 in. In very severe COPD, the brain partly switches to recognizing the higher CO2 levels. Giving COPD patients high oxygen levels can actually stop their breathing. So whereas healthy lungs can tolerate 8 Liters of O2 per minute, a COPD patient may only tolerate 2 or 3 Liters of O2 per minute.

Reduced O2 transfer and retention of CO2 creates lower O2 perfusion of tissues, blue lips, and fingertip clubbing often with slow return of blood to nailbeds, with the inability to take in enough O2.

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10y ago

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