COPD - GOLD Flashcards
What is the 4th leading cause of death in the world?
COPD
What was the GOLD COPD level of evidance?
Evidence based RCT and Meta analysis
Which disease is preventable, reversible, and treatable with limited airflow after chronic exposure to noxious gases?
COPD
What are the classic symptoms of COPD
Dyspnea, Cough, Wheezing
How can you measure quality of life lost with COPD?
DALYs
What Disease has the Pathology of oxidative damage that leads to inflammation and finally to mucus hyperproduction?
COPD
How can you diagnose COPD?
With Spirometry post dilation with an increase in FEV1/FVR of >12%
How can you treat mild, moderate, and severe COPD exacerbations?
Mild - SABD
Mod - SABD + Antibiotic + Steroids
Severe - Hospitalize
No. 1 way to prevent COPD?
Quit Smoking
Describe the ABCD assessment tool.
Exacerbations > 2 CD
Exacerbation < 2 AB
CAT score < 2 AC
CAT score > 2 BD
What must all COPD patients be screened for?
Alpha - 1 - antitrypsin Deficiency
What are the 3 things to prevent and manage COPD?
1 - quit smoking
2 - use proper inhaler technique
3 - vaccinate (pneumovax, flu)
What are the two flu vaccinations
PCV - 13 PPSC - 23 for all patients over 65
What do you give a patient for palliative care?
Opiates and neuromuscular stims
What medication is used to improve FEV1?
SABA or SAMA
What medication is used for exacerbations?
LABA
What medication is used for pulmonary rehab?
Tiotropium
What medication is used to improve dyspnea symptoms
LABA and LAMA
are inhaled medications more effective that oral medications?
Yes
Group A patients receive what medication?
A bronchodilator
Group B patients receive what medication?
LABA or LAMA
Group C patients receive what medication?
LAMA
Group D patients receive what medication?
LAMA + LABA or ICS
LABA + ICS
What do patients with persistent exacerbations use for therapy?
LABA/LAMA or LABA/ICS
If a patient has >300 Eosinophilia and 1 exacerbation a year
LABA/ICS
If a patient has > 100 Eosinophilia and 2 exacerbation a year
LABA/ICS
if Eosinophil count < 10, what medications do patients receive?
roflumilast or azithromycin
what medication is not recommended for COPD
Methylxanthines (theophylle)
Life threatening signs from COPD that lead to hospitalization?
change in mentation, hypoxemia
What are some COPD comorbidities?
Lung cancer, CVD, Osteoporosis, GERD, Depression, Anxiety
