COPD Flashcards

1
Q

Is COPD reversible or non-reversible

A

Non-reversible

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2
Q

Triggers in asthma are often allergens, what triggers a COPD exacerbation

A

Infection

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3
Q

Is COPD relived by bronchodilators

A

No

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4
Q

Most common RF in COPD

A

Smoking

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5
Q

Is there clubbing in COPD

A

No

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6
Q

FEV1/FVC in COPD

A

<0.7

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7
Q

FEV1 in stage 1 COPD

A

> 80%

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8
Q

FEV1 in stage 2 COPD

A

50-80%

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9
Q

Why is a FBC done in COPD

A

Rule out anaemia/policythaemia in response to hypoxia

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10
Q

How are the levels of alpha-1 antitrypsin and transfer factor for carbon monoxide (TLCO) affected in COPD

A

Decreased

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11
Q

Short acting bronchodilators given in step 1 of COPD management

A
  • beta-2 agonists

- short-acting antimuscarinics

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12
Q

Step 2 of COPD management if no asthmatic/steroid response features

A

LABA + LAMA

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13
Q

Step 2 of COPD management in presence of asthmatic/steroid response

A

LABA + ICS

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14
Q

Final measure in step 2 of COPD management

A

LABA + LAMA + ICS

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15
Q

When to consider O2 therapy in COPD

A
  • chronic hypoxia
  • polycythaemia
  • cyanosis
  • car pulmonale
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16
Q

Why is O2 therapy contraindicated in smokers

A
  • patients with +++ CO2 rely on O2 levels for resp drive
  • ++ O2 in O2 therapy depress resp drive
  • more CO2 retention —> suffocation
17
Q

Three examples of LABA + LAMA combined inhalers

A
  • anoro ellipta
  • ultibro breezhaler
  • duaklir genuair
18
Q

Three examples of LABA + ICS combined inhalers

A
  • fostair
  • seretide
  • dymbicort
19
Q

Two examples of LABA, LAMA & ICS combined inhalers

A
  • trimbo

- trelogy ellipta

20
Q

Resp acidosis or alkalosis in COPD?

A

Acidosis

  • low pH
  • raised pCO2
21
Q

Why is there raised bicarbonates in COPD

A

Renal compensation of raised CO2 to raise pH back to normal

22
Q

General Tx for acute exacerbations

A
  • steroids
  • Abx
  • inhalers (bronchodilators)
23
Q

What substance is given IV in severe exacerbations

A

Aminophylline

24
Q

FEV1 in stage 3 COPD

A

30-49%