COPD Flashcards
Which patients are at a high COPD risk development?
What are the patient groups treatments?
What are your SAMAs?
Tobacco smokers, Alpha-1 antitrypsin (AAT) deficiency are at a higher risk.
A-Bronchodilator, B- LAMA or LABA, C- LAMA, D- LAMA+LABA. Long term steroids not recommended.
Ipratropium Bromide(Atrovent)+ Albuterol(Combivent Respimat), MDI 2 inhalations QID, MDI 1 inhalation QID.
What are your LAMA’s?
When should LABA’s be used?
What is Roflumilast (Daliresp)?
Tiotropium, Spiriva Handihaler(2 inhalations QID), Spiriva Respimat(1 inhalation QID). DPI is 1 capsule via HandiHaler device daily(requires 2 puffs), MDI is 2 inhalations. Do not swallow capsules, monitor smoking status, COPD questionnaires, annual spirometry, dry mouth.
In COPD only, 1 capsule daily of indacaterol, watch for all the steroid things, do not swallow the capsule, Arformoterol is the R-isomer of formoterol.
PDE-4 inhibitor,CI’d in moderate to severe liver impairment. Diarrhea, weight loss.
