COPD

Question 1

What is the first suggestion you should make to COPD patients?

Answer 1

STOP SMOKING

Question 2

What is the first thing you would prescribe to COPD patients?

Answer 2

SABA or SAMA depending on how bad it is

Question 3

If there is an exacerbation or is they are persistently breathless you should prescribe…

Answer 3

LAMA and LABA

Question 4

What is the final stage treatment?

Answer 4

LABA/LAMA combination with an inhaled corticosteroid.

Question 5

What is the difference between ipratropium and tiotropium?

Answer 5

Ipratropium is a non-selective short acting muscarinic acteylcholine antagonist
Tiotropium is a selective (M3) long acting muscarinic acetylcholine antagonist

Question 6

What are the side effects of muscarinic acetylcholine anatagonists?

Answer 6

Dry mouth
Dizziness
Oral thrush
Taste disturbance

Question 7

What would you give in an acute exacerbation of COPD if response to bronchodilators was poor?

Answer 7

IV Theophylline