COPD

Question 1

COPD Diagnosis

Answer 1

FEV1/FVC < 0.7

Question 2

COPD Algorithm: Group A

Answer 2

Exacerbations:
Zero or 1 WITHOUT Hospitalization

Symptoms:
CAT 0-9
mMRC 0-1

Treatment: Bronchodilator

1) SABA or SAMA (PRN)
2) LABA
3) LAMA

Question 3

COPD Algorithm: Group B

Answer 3

Exacerbations: LOW
Zero or 1 WITHOUT Hospitalization

Symptoms: HIGH
CAT ≥ 10
mMRC ≥ 2

Treatment:

1) LABA
2) LAMA

Question 4

COPD Algorithm: Group C

Answer 4

Exacerbations: HIGH
≥ 2 or ≥ 1 WITH Hospitalization

Symptoms: LOW
CAT 0-9
mMRC 0-1

Treatment:
1) LAMA

Question 5

COPD Algorithm: Group D

Answer 5

Exacerbations: HIGH
≥ 2 or ≥ 1 WITH Hospitalization

Symptoms: HIGH
CAT ≥ 10
mMRC ≥ 2

Treatment:

1) LAMA
2) LABA + LAMA
3) ICS + LABA (if eos ≥ 300)

Question 6

COPD: SAMA

Answer 6

QID

[SAMA]
Ipratropium (Atrovent HFA)

[SAMA+SABA]
Ipratropium + Albuterol (Combivent Respimat)

Question 7

COPD: LAMA Drugs

Answer 7

2 puffs QD

Tiotropium (Spiriva HandiHaler DPI / Spiriva Respimat MDI)
Aclidinium (Tudorza)
Umeclidinium (Incruse)
Glycopyrrolate

Question 8

COPD: LABA Drugs

Answer 8

Salmeterol (Severent Diskus)
Formoterol (Performist)
Aformoterol (Brovana)
Indacaterol (Arcapta Neohaler) ONCE DAILY
Olodaterol (Striverdi Respimat) ONCE DAILY
Vilanterol (combo only)