COPD Flashcards
What is COPD characterized by?
Small airway disease (obstructive bronchiolitis) Parenchymal destruction (emphysema)
What is the most common risk factor as well as 1st line treatment for COPD?
smoking Stop it….
What are some S/S of COPD?
Low O2 SOB Barrel chest Sputum production
What is the 1st line dx test you may order if you expect COPD? what level is dx for COPD
Spirometry/PFTs <70%
What other dx tests should you order in the w/u of COPD?
CXR: hyperinflation CBC : high H+H with chronic B. ECG O2 sat
what vaccine is important for pts with COPD?
when chould they receive it?
pnuemococcal
>65 y.o. or FEV1 <40%
what 3 things are involved in the gold’s criteria for evaluating COPD?
FEV1 Sxs (CAT, mMRC questionaires) Exacerbations
What are the FEV1 levels for…. Mild _____ Moderate ____ Severe_____ Very severe___
Mild: 80-100 Moderate: 50-79 Severe: 30-49 Very Severe: 0-29
Draw the GOLD’s criteria
what are the tx goals for a pt with COPD?
Control sxs
keep out of hospital
improve QOL
What treatment should each COPD group recieve? (A,B,C,D)
What SAMA or SABA can you use?
SABA: Albuterol
SAMA: Ipratropium
What LABA or LAMA can you use?
LABA: Salmeterol
LAMA: Tiotropium
What ICS can you use for a COPD pt?
Beclomethacome HFA
Fluticasone
What can you use in comination with a bronchodilator in moderate-severe COPD exacerbations?
PDE4 inhibitor : Rofulmilast
