COPD Flashcards

0
Q

R or I

Presence of mucus and inflammatory cells & mediators in bronchial secretions

A

Reversible Airflow Limitation in COPD

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1
Q

Define COPD

A

Syndrome of chronic, persistent expiratory airflow limitation

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2
Q

R or I

Bronchial smooth muscle contraction in peripheral and central airways

A

Reversible Airflow Limitation in COPD

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3
Q

R or I

Dynamic hyperinflation during exercise

A

Reversible Airflow Limitation in COPD

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4
Q

R or I

Fibrosis & narrowing of airways

A

Irreversible Airflow Limitation in COPD

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5
Q

R or I

Reduced elastic recoil w/loss of alveolar surface area

A

Irreversible Airflow Limitation in COPD

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6
Q

R or I

Destruction of alveolar support w/reduced patency of small airways

A

Irreversible Airflow Limitation in COPD

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7
Q

COPD usually consists of what two diseases

A

Chronic bronchitis

Emphysema

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8
Q

Groups at increased risk for COPD

A

Older
White
Female
Smokers

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9
Q

What is required to diagnose COPD?

A

Spirometry

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10
Q

COPD symptoms

A

Dyspnea
Chronic cough
Sputum production

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11
Q

History of exposure to risk factors

A

Tobacco
Occupational hazards
Air pollution

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12
Q

Intrathoracic causes of chronic cough

A
COPD
Asthma
Lung cancer
TB
Bronchitis
Left heart failure
Interstitial lung disease
Cystic fibrosis
Idiopathic cough
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13
Q

Extrathoracic causes of chronic cough

A

Chronic allergic rhinitis
Upper airway cough syndrome (UACS)
GERD
Medications (ex: ACEIs)

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14
Q

Emphysema aka

A

Pink puffer

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15
Q

Chronic bronchitis aka

A

Blue bloater

16
Q

Goals of COPD assessment:

A
  1. Determine severity of the disease
  2. Determine impact on patient’s health status
  3. Determine risk of future events
    • exacerbations, hospitalizations, or death
  4. Determine pharmacologic / non-pharmacologic interventions
17
Q

COPD assessment tools

A

CAT - COPD Assessment Tool (CAT)
mMRC - Breathlessness Measurement using the Modified British Medical Research Council (mMRC)
CCQ - Clinical COPD Questionnaire

18
Q

CAT scores

A

<10 Low Symptom Group

10+ High Symptom Group

19
Q

Doc for AECOPD group A

A

SAMA or SABA

20
Q

Doc for AECOPD group B

A

Idk

21
Q

Doc for AECOPD group C

A

Idk

22
Q

Doc for AECOPD group D

A

Idk

23
Q

Examples of SAMA

A

Ipratropium

24
Q

Examples of LAMA

A

Tiotropium

25
Q

Examples of SABA

A

Albuterol

Levalbuterol

26
Q

Examples of ICS

A

Fluticasone

Beclomethasone