COPD Case Flashcards

1
Q

airflow obstruction is defined as FEV1 < __ predicted
and FEV1/FVC ratio < __ predicted

A

80%
70%

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2
Q

GOLD criteria is based on

A

FEV1/FVC < 70%

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3
Q

COPD treatment

A
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4
Q

4 steps in COPD classification/staging

A
  1. assess symptom severity (CAT/mMRC)
  2. assess future exacerbation risk (GOLD)
  3. risk stratify (ABCD)
  4. initiate tx (ABCD)
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5
Q

COPD med given to all

A

Combivent (SABA+SAMA)

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6
Q

what combo has been more effective than monotherapy for COPD and is available in a single inhaler

A

combivent -> ipratropium/albuterol (SAMA/SABA)

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7
Q

best choice med for COPD w. significant airflow obstruction and chronic sx

A

LAMA - Spiriva

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8
Q

when should ICS be used for COPD

A

when LABA or LAMA have been maxed out
FEV < 50%
not first line tx

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9
Q

4 LABA/ICS combos

A

symbicort
advair
breo ellipta
dulera

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10
Q

2 LAMA/ICS combos

A

anoro ellipta
stiolto respimat

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11
Q

tx not recommended in COPD

A

long term systemic steroids

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12
Q

2 non pharm options for COPD

A

O2
pulmonary rehab

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13
Q

4 indications for O2 in COPD patients

A

resting SpO2 < 88% RA
e.o:
pulm HTN
CHF
polycythemia

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14
Q

MOA for SABA/LABA

A

bronchiole vasodilation

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15
Q

MOA for SAMA/LAMA

A

bronchiole vasodilation
decrease mucous production

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16
Q

MOA for ICS

A

decrease inflammation/wall edema

17
Q

MOA for theophylline

A

bronchiole vasodilation

18
Q

2 tools to monitor pharmacotherapy effectiveness for COPD

A

CAT/mMRC
FEV 1