COPD

Question 1

Diagnose COPD by FEV1/FVC ratio less than?

Answer 1

70 % or 0.70

Question 2

what will you pt look like with COPD?

Answer 2

clubbing, barrel chest, chronic cough
percussion=hyperresonace

Question 3

2 conditions that makeup COPD

Answer 3

Chronic Bronchitis and emphysema
Start them on a bronchodilator

Question 4

step wise COPD treatment?

Answer 4

SABA or SAMA prn
LABA, LAMA
ICS + LABA or LAMA), ICS + LABA and/LAMA)

Question 5

Most common cancer in men and women?

Answer 5

Lung cx

Question 6

Name SABAs?

Answer 6

short-acting- albuterol and levalbuterol acts in 5mins

Question 7

Name SAMA?

Answer 7

short-acting muscarinic antagonists/ inhaled antimuscarinics preventing bronchodilation by blocking the action of acetylcholine at the muscarinic receptors
(PIUM)

short acting: (6hrs)
ipratropium (atrovent) –> at the event get an IPA so relax the bronchiles

Question 8

Name LABAs (never prescribe alone)

Answer 8

12-24 hrs long-acting beta agonists

Salmeterol (serevent)
Indacaterol (arcapta neohaler)
Olodaterol (striverdi Respimat)

Question 9

Name LAMAs?

Answer 9

Long-acting more inhaled anticholinergic

Triotropium (Spiriva) (24hrs)

Elipta, Tudorza Pressair, Seebri Neohaler

Question 10

Combivent is?

Answer 10

SAMA and SABA
ipratropium/albuterol (6hrs)

Question 11

Anoro Elipta is?

Answer 11

LAMA + LABA (24hrs)

Question 12

Name some LABA + ICS?

Answer 12

Advair, Breo, Symbicort

Question 13

Trelegy

Answer 13

LABA, LAMA and ICS

Question 14

FEV1/FVC ratio less than 60 we now add?

Answer 14

ICS