COPD

Question 1

what are the different GOLD classifications of COPD

Answer 1

FEV1 >80% mild
FEV1 50-80% moderate
FEV1 30-50% severe
FEV1 <30% very severe

Question 3

what is group A for COPD treatment initiation

Answer 3

CAT <10
mMRC 0-1
with
0-1 moderate exacerbations, no hospitalizations
__________________________________
treat with 1 bronchodilator
SABA prn
SAMA prn
LAMA or LABA

Question 3

What is group E for COPD tx initiation

Answer 3

LAMA + LABA
+ ICS if eos >300

Question 3

what is group B for COPD treatment initiation

Answer 3

CAT >10
mMRC >2
with
0-1 moderate exacerbations and no hospitalizations

LABA + LAMA

Question 3

how do we escalate COPD tx if the patients main complaint is SOB/dyspnea

Answer 3

LAMA or LABA
|
LAMA + LABA
|
change inhaler or assess alternate cause

Question 4

how do we escalate COPD tx if the chief complaint is exacerbations/flare ups

Answer 4

LAMA or LABA —eos >300 LABA/LAMA/ICS
|
eos <100 –> LABA + LAMA
|
eos>/= 200 –> LABA/LAMA/ICS

Question 5

LAMA inhalers for COPD

Answer 5

umeclinidium = Incruse
glycopyrrolate
tiotropium = spiriva

Question 6

LABA inhalers for COPD

Answer 6

salmeterol = serevent
formoterol =
arformoterol = Brovana
vilanterol (only in combos)

Question 7

LAMA/LABA

Answer 7

tiotropium/olodaterol = Stiolto
glycopyrrolate/formoterol = Bevespi
umeclinidium/vilanterol = Anoro

Question 8

LAMA/LABA/ICS

Answer 8

umeclinidium/vilanterol/fluticasone = Trelegy

glycopyrrolate/formoterol/budesonide = Breztri