Asthma and COPD pathway Flashcards
what is the ratio of FEV1/FVC that suggests COPD
less than 70%
what is the FEV1 percentage of mild COPD
more or equal to 80% of predicted
what is step 1 in the treatment pathway for COPD
Reduction of risk factors
SABA when required e.g. Salbutamol
what is step one in the treatment pathway for COPD
Reduction of risk factors
SABA when required e.g. Salbutamol
what is the FEV1 percentage of moderate COPD
50%
what is step 2 in COPD treatment
ADD one or more long-acting bronchodilator (when needed)
i.e. LAMA, LABA, LAMA/LABA, LABA/ICS
what is the FEV1 % for severe COPD
30%
what is step 3 in COPD treatment
ADD inhaled glucocorosteroid if repeated exacerbations
i.e. Beclometasome
what is step 4 in COPD treatment
ADD long term oxygen if chronic respiratory failure
CONSIDER surgery
what is step 1 in asthma treatment
as needed SABA
e.g. Salbutamol
what is step 2 in asthma treatment
ADD inhaled steroid
e.g. Beclomethasone
what is step 3 in asthma treatment
ADD LABA/LAMA e.g. Tiotropium+Formoterol or Fluctinasone+Salmeterol OR ADD Leukotriene receptor Antagonist e.g. Montelukast (oral) OR ADD Methylxanthies e.g. Theophylline OR ADD Anti-IgE e.g. Omalizumab
what is step 4 in asthma treatment
ADD one or more from options in step 3
what is step 5 in asthma treatment
Oral steroids
e.g. Prednisolone
