COPD - GOLD Flashcards

1
Q

What is the 4th leading cause of death in the world?

A

COPD

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2
Q

What was the GOLD COPD level of evidance?

A

Evidence based RCT and Meta analysis

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3
Q

Which disease is preventable, reversible, and treatable with limited airflow after chronic exposure to noxious gases?

A

COPD

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4
Q

What are the classic symptoms of COPD

A

Dyspnea, Cough, Wheezing

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5
Q

How can you measure quality of life lost with COPD?

A

DALYs

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6
Q

What Disease has the Pathology of oxidative damage that leads to inflammation and finally to mucus hyperproduction?

A

COPD

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7
Q

How can you diagnose COPD?

A

With Spirometry post dilation with an increase in FEV1/FVR of >12%

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8
Q

How can you treat mild, moderate, and severe COPD exacerbations?

A

Mild - SABD
Mod - SABD + Antibiotic + Steroids
Severe - Hospitalize

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9
Q

No. 1 way to prevent COPD?

A

Quit Smoking

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10
Q

Describe the ABCD assessment tool.

A

Exacerbations > 2 CD
Exacerbation < 2 AB
CAT score < 2 AC
CAT score > 2 BD

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11
Q

What must all COPD patients be screened for?

A

Alpha - 1 - antitrypsin Deficiency

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12
Q

What are the 3 things to prevent and manage COPD?

A

1 - quit smoking
2 - use proper inhaler technique
3 - vaccinate (pneumovax, flu)

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13
Q

What are the two flu vaccinations

A

PCV - 13 PPSC - 23 for all patients over 65

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14
Q

What do you give a patient for palliative care?

A

Opiates and neuromuscular stims

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15
Q

What medication is used to improve FEV1?

A

SABA or SAMA

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16
Q

What medication is used for exacerbations?

A

LABA

17
Q

What medication is used for pulmonary rehab?

A

Tiotropium

18
Q

What medication is used to improve dyspnea symptoms

A

LABA and LAMA

19
Q

are inhaled medications more effective that oral medications?

A

Yes

20
Q

Group A patients receive what medication?

A

A bronchodilator

21
Q

Group B patients receive what medication?

A

LABA or LAMA

22
Q

Group C patients receive what medication?

A

LAMA

23
Q

Group D patients receive what medication?

A

LAMA + LABA or ICS

LABA + ICS

24
Q

What do patients with persistent exacerbations use for therapy?

A

LABA/LAMA or LABA/ICS

25
Q

If a patient has >300 Eosinophilia and 1 exacerbation a year

A

LABA/ICS

26
Q

If a patient has > 100 Eosinophilia and 2 exacerbation a year

A

LABA/ICS

27
Q

if Eosinophil count < 10, what medications do patients receive?

A

roflumilast or azithromycin

28
Q

what medication is not recommended for COPD

A

Methylxanthines (theophylle)

29
Q

Life threatening signs from COPD that lead to hospitalization?

A

change in mentation, hypoxemia

30
Q

What are some COPD comorbidities?

A

Lung cancer, CVD, Osteoporosis, GERD, Depression, Anxiety