COPD Lecture Flashcards

1
Q

Increased cough
Increased sputum
Worsening dyspnea

A

COPD exacerbation

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2
Q

Wheezing
Tachypnea
Increased resp efforts (work of breathing, tripodding, DOE, accessory muscles)
Hypoxia

A

physical exam of COPD exacerbation

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3
Q

normal spirometry does not rule out empysema, chronic bronchitis, asthma or risk of developing exacerbations of COPD

A

SG 0

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4
Q

MILD severity guide

FEV1 > 60% predicted

A

SG 1

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5
Q

MODERATE severity

FEV 1 < 60% predicted

A

SG 2

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6
Q

SEVERE severity guide

FEV 1 < 30% predicted

A

SG3

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7
Q

SG 1- SG 3:

post bronchodilator FEV1/FVC ratio is < ____

A

< 0.7

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8
Q

FEV1/FVC ratio is >0.7
FEV 1 <80% predicted

seen with restriction, muscle weakness, etc

A

SG U: undefined

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9
Q

What is considered severe hypoxemia that requires oxygenation in COPD?

A

resting O2 <88%

PaO2 < 55 mmHg

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10
Q

Cough and sputum most days for last 3 months for at least 2 years

A

Chronic bronchitis

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11
Q

Oxygen:

  1. Nasal canula (up to 6L)
  2. Vapotherm (high flow nasal O2 with positive pressure, “washes out” upper airway)
  3. Positive pressure ventilaton (BiPap, CPap)
  4. Intubation and mechanical ventilation (need CCU)
A

COPD tx

(need pulm consult for 2-4)

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12
Q

high flow nasal O2 and positive pressure
“washes out” upper airway expired CO2 replacing it with highly oxygenated O2

used in COPD tx

A

Vapotherm

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13
Q

What 2 classes of meds are used as inhalants in COPD tx?

A

Beta adrenergic agonists
Anticholinergics

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14
Q

Produces bronchodilation

ie albuterol

A

Beta adrenergic agonists

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15
Q

Relaxes smooth muscle, enhancing dilation effects of beta adrenergics

ie..ipratropium, tiotropium

A

Anticholinergics

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16
Q

What route of steroids do you give for COPD exacerbation for the first 2 days?

then what?

A

Parenteral steroids for first day or 2

then PO steroids. taper off over max of 2 weeks

17
Q

What is the avg length stay in hospital for COPD?

A

5 days

18
Q

Around what day in hospital….

Change to PO steroids
Continue inhalants
Start to wean O2
Encourage pt ambulation

A

Day 2-3

19
Q

Abx class for uncomplicated COPD

A

Macrolide

20
Q

Abx class for complicated COPD

A

Fluoroquinolones
OR
Augmentin