COPD Case Flashcards
airflow obstruction is defined as FEV1 < __ predicted
and FEV1/FVC ratio < __ predicted
80%
70%
GOLD criteria is based on
FEV1/FVC < 70%
COPD treatment
4 steps in COPD classification/staging
- assess symptom severity (CAT/mMRC)
- assess future exacerbation risk (GOLD)
- risk stratify (ABCD)
- initiate tx (ABCD)
COPD med given to all
Combivent (SABA+SAMA)
what combo has been more effective than monotherapy for COPD and is available in a single inhaler
combivent -> ipratropium/albuterol (SAMA/SABA)
best choice med for COPD w. significant airflow obstruction and chronic sx
LAMA - Spiriva
when should ICS be used for COPD
when LABA or LAMA have been maxed out
FEV < 50%
not first line tx
4 LABA/ICS combos
symbicort
advair
breo ellipta
dulera
2 LAMA/ICS combos
anoro ellipta
stiolto respimat
tx not recommended in COPD
long term systemic steroids
2 non pharm options for COPD
O2
pulmonary rehab
4 indications for O2 in COPD patients
resting SpO2 < 88% RA
e.o:
pulm HTN
CHF
polycythemia
MOA for SABA/LABA
bronchiole vasodilation
MOA for SAMA/LAMA
bronchiole vasodilation
decrease mucous production