AEMCA Practice Exam

What are the characteristics of the "pink puffer"?

1. Obese body type, dry cough, blue tinged skin

2. Accessory muscle use, thin physique, pursed lip breathing

3. Frequent lung infections, cyanosis, productive cough

4. Underweight, swollen extremities, chronic fatigue

The correct answer is: Accessory muscle use, thin physique, pursed lip breathing

The correct choice highlights the characteristics commonly associated with emphysema, a type of chronic obstructive pulmonary disease (COPD). Individuals referred to as "pink puffers" typically exhibit a thin physique due to the increased effort required to breathe, which can lead to weight loss. This is often coupled with the use of accessory muscles during breathing, as they work harder to ensure adequate oxygen intake. Pursed lip breathing is another hallmark feature of this category of COPD patient. This technique helps to maintain airway patency and improve gas exchange, leading to better oxygenation. The phenomenon is termed "pink puffer" because, despite the difficulty in breathing, they often maintain a good oxygen level initially, resulting in a pink hue to the skin rather than the cyanosis seen in other conditions. This understanding of the physiology and behavior of "pink puffers" is crucial for emergency care providers, as it informs patient assessment and management strategies.