COPD

Question 1

Main management of COPD

Answer 1

Smoking cessation

Influenza and pneumococcal vaccinations

Question 2

Mode of action of muscarining M-receptor antagonists

Answer 2

Block parasympathetic bronchoconstriction

Given by inhalation to limit antimuscarinic side effects

Question 3

BEta blockers and COPD?

Answer 3

COpD should not be a reason to avoid beta blockers where there is a compelling need

If beta blockers are prescribed, need to monitor respiratory function

Question 4

First line treatment

Answer 4

Short acting antimuscarininc or Short acting beta agonist

Question 5

Second line treatment (without asthmatic features)

Answer 5

Replace short acting antimuscarinic with a long acting antimuscarininc and LABA

Question 6

Second line treatment with asthmatic features

Answer 6

LABA + Inhaled corticosteroid

Question 7

Third line treatment? When used and what to use

Answer 7

When there is hospitalisation or 2 episodes (oral steroids or antibacterials)

Add inhaled corticosteroids

Question 8

Third line treatment with asthmatic features

Answer 8

Add LAMA

Question 9

How to treat exacerbations

Answer 9

Antimicrobial therapy