CHAPTER 3: Respiratory: COPD Flashcards
What lifestyle changes reduces the progressive decline in COPD?
Smoking cessation
Infection can complicate COPD. Therefore, which 2 vaccines are recommended for patients? (2)`
- Influenza
2. Pneumococcal
What can alleviate symptoms of COPD when used PRN? (2)
- SABA
2. SAMA
For regular inhaled therapy of COPD, What should be used if the FEV1 is >50%? (2)
- LABA
2. LAMA
When a LAMA is added as regular inhaled therapy, what should be discontinued?
SAMA
If a LABA is ineffective, what is used?
LABA + ICS combination
For regular inhaled therapy of COPD, What should be used if the FEV1 is <50%? (2)
- LAMA
2. LABA + ICS combination
What is triple therapy for patients who remain symptomatic?
LABA + ICS combination and LAMA
If symptoms persist after tripl?e therapy with inhaled medicines, what can be used? (2)
MR Theophylline OR
Aminophylline
In patients with severe COPD associated with chronic bronchitis and frequent exacerbations, which medication is a licensed adjunct to bronchodilator treatment?
Roflumilast
If a patient has a productive cough, what may be considered?
A mucolytic
What prolongs survival in patients with severe COPD and hypoxaemia?
Long-term oxygen therapy
What are the treatment options for acute exacerbation of COPD?
- Nebulised brochodilator
- IV Aminophylline
- Prednisolone 7-14 days
- Antibiotics
Patients who have had an episode of hypercapnic respiratory failure should be given what? (2)
- 24% or 28% venturi mask
2. Oxygen alert card with target sats
What is the target oxygen saturation for people at risk of hypercapnia?
88-92%
