COPD Flashcards
Sputum control in COPD, what to give?
Carbocisteine
Main COPD risk factor
Smoking
How is copd different to asthma?
Persistent respiratory symptoms
How is COPD airway blocks occur?
Bronchiolitis (inflamed bronchioles)
+
Emphysema
Copd symptoms?
Sputum
Dyspnoea (SOB)
Wheezing
Chronic cough
Chronic COPD Treatment step 1 for both asthmatic or non asthmatic?
1) SABA or SAMA
Non Asthmatic COPD treatment
1) SABA or SAMA
2) Then LAMA + LABA (Discont. SAMA)
3) LAMA + LABA + ICS
Step 3 only occurs if:
- pt is severe exacerbation
or 2+ moderate exacerbation in one year
Asthmatic COPD treatment?
1) SABA or SAMA
2) LABA + ICS (Discontinue SAMA)
3) LAMA + LABA + ICS
Only if pt has severe exacerbation
Or 2+ moderate ones in a year)
Difference between non asthmatic and Asthmatic treatment?
Step 2 for non asthmatic is LABA + LAMA
Step 2 for asthmatic is LABA + ICS
*MAKES SENSE BECAUSE ICS IS MAIN TREATMENT FOR ASTHMA anyways
Which one continues throughout COPD treatments? SABA or SAMA?
SABA
In non asthmatic pt what to do if step 3 (triple therapy) doesn’t work?
Get rid of ICS
Go back to LABA and LAMA
Just like when ICS is trial in children under 5
How can u prevent COPD pt’s from developing something life threatening - HIGH RISK PT
Offer Pneumococcal & Influenza vaccine
If asthmatic and Step 3 triple therapy doesn’t work?
Add theophylline, Oxygen therapy, Mucolytics
Preventative ABX winter months?
Azithromycin 250mg TDS a week
Exacerbation in last year they need a Rescue pack, what’s part of it?
Antibiotic
(Amoxicillin/Doxycycline/Clarithromycin)
+
Oral Corticosteroid (Prednisolone)
