COPD

Question 1

COPD Spirometry

Answer 1

FEV1/FEV < 70% post bronchodilator

Question 2

COPD-X

Answer 2

Confirm Dx
Optimise function
- Non-pharmacological: pulmonary rehab, exercise therapy
- Pharmacological
Prevent deterioration
- Smoking cessation
- Vaccinations
Develop a care plan
Manage eXacerbations

Question 3

COPD Pharmacological Mx

Answer 3

Step 1: SAMA or SABA
Step 2: LAMA/LABA combination
Step 3: ICS/LAMA/LABA
○ At least 1 severe COPD exac requiring hospitalisation
○ 2 or more moderate exac in the previous 12 months
○ Mortality benefit vs. LAMA/LABA - greatest effect in frequent exacerbators, low to medium dose ICS, blood eosinophils >200