COPD

Answer 1

Chronic Bronchitis and Emphysema NOT Asthma, because it is reversable.

Question 2

Common clinical presentations of COPD

Answer 2

Asymptomatic but sedentary (most common clinical presentation) Symptomatic with dyspnea on exertion DOE,and chronic cough. Acute exacerbation.

Question 3

What combination of symptoms might present?

Answer 3

Chronic cough or sputum production, dyspnea inhalation exposure to tobacco smoke, dust, chemicals.

Question 4

What tests/studies are used to confirm?

Answer 4

Always use cheap, quick, and that can be done in office, like spirometry.

Question 5

COPD is confirmed by PFTS if …

Answer 5

FEV1/FVC is less than .70 No matter the severity of COPD, this is always a defining characteristic.

Question 6

For all stages of COPD, recommended treatment is…

Answer 6

• avoidance of risk factors - Influenza vaccination - pneumococcal vaccination

Question 7

If diagnosed with COPD all patients must go home with minimum of…

Answer 7

SABA medication. (albuterol)

Question 8

Medications for COPD management.

Answer 8

Inhaled beta-agonist Anticholinergic agents Inhaled corticosteroids Theophylline Combination therapy

Question 9

What are the characteristics of inhaled beta agonists?

Answer 9

Inhaled beta-agonist - are a stimulant that “stimulates” beta receptors, which are in two places in the body, the heart (beta1) and lungs (beta 2). One heart = beta1 - make the heart beat faster Two lungs = beta2 - open up the airways