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Clinical > 6 Respiratory - COPD > Flashcards

6 Respiratory - COPD Flashcards

1
Q

Bronchitis is

A

inflammation of the airways

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2
Q

Bronchitis is

A

inflammation of the airways

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3
Q

Emphysema is

A

destruction of the airways

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4
Q

What is COPD?

A

Chronic bronchitis and emphysema spectrum - most have a bit of both

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5
Q

Clinical features of COPD

A

Exertional dyspnoea (SOB)
Cough
Wheeze
Sputum production

Symptoms are typically fixed whiles disease is progressing (in contrast to variable asthma)

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6
Q

Best thing to do to treat COPD

A

stop smoking

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7
Q

How do we investigate COPD?

A

Spirometry

FER= FEV1/FVC

FEV1 - forced expiratory volume
FVC - forced vital capacity

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8
Q

COPD is an obstructive defect so the FER is….

A
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9
Q

What treatments actually improve survival (2)

A

Oxygen & smoking cessation

The rest improve exercise tolerance

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10
Q

Emphysema is

A

destruction of the airways

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11
Q

What is COPD?

A

Chronic bronchitis and emphysema spectrum - most have a bit of both

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12
Q

Clinical features of COPD

A

Exertional dyspnoea (SOB)
Cough
Wheeze
Sputum production

Symptoms are typically fixed whiles disease is progressing (in contrast to variable asthma)

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13
Q

Best thing to do to treat COPD

A

stop smoking

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14
Q

How do we investigate COPD?

A

Spirometry

FER= FEV1/FVC

FEV1 - forced expiratory volume
FVC - forced vital capacity

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15
Q

COPD is an obstructive defect so the FER is….

A
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16
Q

What treatments actually improve survival (2)

A

Oxygen & smoking cessation

The rest improve exercise tolerance

17
Q

What treatments actually improve survival (2)

A

Oxygen & smoking cessation

The rest improve exercise tolerance

18
Q

Main targets of COPD treatment

A

Reducing breathlessness and reducing exacerbations

19
Q

e.g. of SABA

A

salbutamol

20
Q

e.g. of LABA

A

salmeterol/formeterol

21
Q

In what devices should we put LABAs?

e.g

A

ICS/LABA

e.g. seretide, symbacort
Fostair
Relvar
Duoresp

22
Q

definition of exacerbation

A

a sustained worsening of the patient’s condition from the stable state and beyond normal day-to-day variations that is acute in onset and may warrant additional treatment

23
Q

e.g. of LAMA

A 
tiotropium
also:
Aclidinium
Glycopyronnium
Umeclidinium
24
Q

Where does LAMA/LABA fit into the algorythm?

A

Not bad enough to need ICS

25
Q

Where does LAMA/LABA fit into the algorythm?

A

Not bad enough to need ICS

26
Q

What is LTOT?

A

Long term oxygen therapy

27
Q

Who should be referred for LTOT?

A

-Patients with SaO2

28
Q

who might be appropraite for ambulatory oxygen?

A

in hypoxic patients already on LTOT

Clinical (32 decks)

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