COPD

Question 1

what is COPD?

Answer 1

-PROGRESSIVE AND NOT REVERSIBLE
-persistent symptoms
-airflow limitation due to a combustion of obstructive bronchiolitis + emphysema

Question 2

what is the main risk factor for COPD?

Answer 2

smoking

Question 3

what are other risk factors for COPD?

Answer 3

POLLUTION AND OCCUPATIONAL EXPOSURES , GENETIC FACTORS

Question 4

WHAT IS THE TREATMENT FOR COPD for non-asthmatic side effects?

Answer 4

STEP 1: SABA or SAMA
STEP 2: LAMA +LABA discontinue THE SAMA
STEP 3: if patient has severe exacerbation or 2+ moderate ones in a year give LAMA+ LABA+ ICS
-If non-asthmatic feels no change after 3 months, revert back to LAMA + LABA

Question 5

WHAT IS THE TREATMENT FOR COPD for asthmatic side effects?

Answer 5

STEP 1: SAMA or SAMA
STEP 2: LABA + ICS discontinue SAMA
STEP 3: LAMA+ LABA + ICS
-If not improvement then theophylline, oxygen therapy mucolytics

Question 6

what should all COPD patients have given to the?

Answer 6

-SABA throughout all stages of therapy
-offer pnemococcal and influenza vaccine

Question 7

what is used to treat COPD exacerbation in the last year? rescue pack

Answer 7

a rescue pack
-amoxicillin
-doxycycline
-clarithromycin, avoid if taking prophylactic azithromycin as they are both macrolides

Question 8

what non-drug treatment should be taken?

Answer 8

-positive expiratory pressure helps sputum clearance

Question 9

what drugs can be used in a COPD exacerbation?

Answer 9

-SAMA/SABA (withhold LAMA if SAMA given)
-In hospitalised short term course of prednisolone 30mg for 7 days along with other therapies
-community: short course prednisolone if significant breathlessness
-aminophylline added if inadequate response to nebulised bronchodilators
-oxygen if need to keep oxygen saturation’s of arrival blood levels in range

Question 10

why dont you give a SAMA and LAMA at the same time?

Answer 10

because the muscarinic SE will be too much for patient