COPD

Question 1

Group A

Answer 1

Minimal symptoms
Treatment PRN:
SABA: Albuterol, levalbuterol
SAMA: Ipratropium
SABA/SAMA: Ipratropium/albuterol
Bronchodilators improve symptoms, exercise, and airflow

Question 2

Group B

Answer 2

Moderate to severe symptoms
Regular treatment with long acting bronchodilator
LAMA
Maybe LABA
Severe: LAMA and LABA
SABA for acute symptom relief
LAMA ADR: dry mouth, urinary retention
LABA ADR: resting tachycardia, tremors

Question 3

Group C

Answer 3

Mild or infrequent symptoms but with a high risk of exacerbation
Regular LAMA. Decreases exacerbations but not death.
Include SABA for acute symptomatic relief

Question 4

Group D

Answer 4

Moderate to severe symptoms and high risk of exacerbations
Regular bronchodilator
Initial: LAMA
Severe: LAMA and LABA combination
SABA for acute symptoms
ICS for pts with frequent COPD exacerbations