One of the most common lung diseases is chronic obstructive pulmonary disease. COPD is a disease that makes it hard to breathe that gradually worsens over time. There are two main forms of COPD, chronic bronchitis and emphysema, most patients present a combination of both of these obstruction processes. In chronic bronchitis changes in the airway include chronic inflammation and swelling of the bronchial mucosa that results in scarring, increased mucous membrane, and increased bronchial wall thickness. With Emphysema there's a destructive change of the alveolar walls without fibrosis and abnormal enlargement of the distal air sacs. The leading cause of COPD is cigrette smoking, other causes include long term exposure to irritants such as air pollution, certain gases or fumes, and in rare cases, nonsmokers who lack a protein called alpha-1 antirypsin can develop emphysema. Because bronchitits and emphysema are most frequently seen in combination treatment are similar. The overall goals are to stop the progression of the disease, return the patient to optimal respiratory function, and return the patient to usual activities of daily living. Treatment includes medications such as short-acting B2 agonists and inhaled anticholinergic bronchodilators, cough suppressants, and antimicrobial agents for infections. Low dose oxygen is recommended for patients with low PaO2 levels. Lifestyle changes include cessation of smoking, diet such as watching salt intake, smaller more freguent meals instead of