COPD Flashcards
What two things are used to assess symptoms in COPD?
CAT and mMRC
GOLD 1 is what FEV1?
> or = 80% predicted
GOLD 2 is what FEV1?
50- 79% predicted
GOLD 3 measured FEV1?
30 - 49% predicted
GOLD 4 is what FEV1?
80% or more than predicted
What is required for diagnosis of COPD?
FEV/FVC
Give what agent for group A COPD
SAMA or SABA
Give what for group B COPD?
LAMA or LABA
Give what for group C COPD?
ICS + LABA or LAMA
Give what for group D COPD?
ICS + LABA +/- LAMA
Carbocysteine is a _____ agent.
Mucolytic
Don’t use long term mono therapy of what agent in COPD?
ICS
PDE-4 inhibitors reduce what in COPD?
Inflammation by inhibiting breakdown of cAMP
Always use PDE-4 inhibitors how in COPD?
In combo
What vaccines are recommended in COPD?
Influenza
PPSV23 x 1 repeat in 5 years after turning 65
Use what three agents in COPD exacerbations?
Antibiotics
LAMA
oral steroids
What are the SAMA’s?
Ipratropium
Ipratropium + albuterol
What is ipratropium name brand?
Atrovent
What is ipratropium + albuterol name brand?
Combivent
What are the three LAMA’s?
Tudorza
Spiriva
Incruse
What in Tudorza generic?
Aclidinium
What is Spiriva generic?
Tiotropium
What is Incruse generic?
Umeclidinium
What is common SE of all inhaled anticholinergics?
Dry mouth
What is arformoterol name brand?
Brovana
What is indacaterol name brand?
Arcapta
What is in Breo?
Vilanterol and fluticasone
What is in Striverdi respimat?
Olodaterol
Discard Advair diskus how long after opening?
30 days
What is the PDE-4 inhibitor?
Daliresp
What is generic Daliresp?
Roflumilast
Only use Daliresp in what kind of COPD?
Severe
