COPD- extra info

Question 1

According to the GOLD grades and severity of airflow obstruction in COPD what FEV1 % would you expect in someone with mild, mod, severe, and severe severe COPD

Answer 1

GOLD1- mild 80+%
GOLD2- moderate 50-79%
GOLD3- severe 30 - 49 %
GOLD4 - very severe <30%

Question 2

What vaccines are important in COPD patients

5

Answer 2

• COVID-19
• Influenza
• Pneumococcal
• Tdap
• shingles vaccine

Question 3

When should oxygen therapy be used

Answer 3

in patients with severe resting chronic hypoxemia (PaO2 <55)

not for patients with stable COPD or resting/ exercise induced moderate destats

Question 4

What is important to do with patients who approach EOL with COPD

Answer 4

Get directives in place asap

Question 5

How often should spirometry be repeated

Answer 5

at least yearly- do not disrupt bronchodilator therapy for spirometry

pt continue with normal meds while going for testing- want tests to reflect current treatment plan efficacy

Question 6

fyi

Question 7

fyl

Answer 7

When should pt be referred on?

Question 8

What is true about chronic resp conditions?

TQ*

Answer 8

Hypoxemia or respt distress is an emergent situation regardless of chronicity of underlying condition

TQ*

Question 9

What drug class is spiriva in?

TQ*

Answer 9

LAMA

Spiriva (Tiotropium)

anticholinergic–>
blocks muscarinic receptors :. prevents acetylcholinefrom binding–> leads to relaxation and dilation of the airways.

reduces bronchoconstriction and improves airflow.