COPD Part 2

Question 1

This can detect COPD before symptoms are recognized and also severity

Answer 1

Spirometry

Question 2

Also known as transfer factor test which is used to assess the lung ability to transfer gas from air to the ______

Answer 2

DLCO test, Blood

Question 3

In DLCO test patient will inhale small amount of ___ and _____

Answer 3

Carbon monoxide and tracer gas (methane/helium)

Question 4

In DLCO test the client will hold breath for __ seconds then exhale rapidly. Exhale gas is then tested to determine how much tracer gas was absorb during breath

Answer 4

10 seconds

Question 5

Bronchogram can detect what

Answer 5

Cylindrical dilation of bronchi on inspiration, bronchial collapse on forced expiration (emphysema) and enlarged mucous ducts (bronchitis)

Question 6

In COPD - an Increased hgB indicates _____, while increased Eosinophil indicates _____

Answer 6

Advanced emphysema, Asthma

Question 7

In COPD the following results indicates what
Right axis deviation - COPD
Peak P wave-
Atrial dysaarrythmia -
Tall, peaked P wave in lead 2, 3 and AVF
Vertical QRS axis

Answer 7

COPD,Severe asthma, Bronchitis, Emphysema & Bronchitis, Emphysema

Question 8

This is an important predictor of prognosis

Answer 8

FEV1

Question 9

In obstructivr lung diseases what makes up the greater portion of the total lung capacity

Answer 9

Residual Volume

Question 10

Pharmacologic therapy for COPD is based on these 2

Answer 10

Spirometry and Stage of disease

Question 11

2 main airway opener for COPD

Answer 11

Bronchodilator & Corticosteroid

Question 12

Give 1/2 example of bronchodilator for COPD

Answer 12

Albuterol,Levalbuterol, Ipatropium

Question 13

Give at-least 2 corticosteroid

Answer 13

Beclamethasone, Dipropionate, Budesonide, Ciclesonide

Question 14

A patient with stage 1 COPD what type of drug will you give for SOB

Answer 14

SABA

Question 15

This therapy is used to treat emphysema patients who have severe alpha-1 anti trypsin deficiency

Answer 15

Augmentation therapy or replacement therapy

Question 16

Stage 2 COPD shall be given with

Answer 16

SABA + LABA

Question 17

Stage 3 COPD patient shall be given with

Answer 17

SABA + LABA + inhaled glucocorticoid if he has frequent exacerbation

Question 18

Stage 4 COPD patient should be given with

Answer 18

Same as stage 3 but must include Cardiopulmonary rehab and O2 therapy

Question 19

What is the first line therapy for the medical management of COPD

Answer 19

Bronchodilators

Question 20

When do we need to hospitalised a patient with COPD due to possible Exacerbation

Answer 20

Dyspnea that doesn’t respond to therapy, confusion, lethargy, respiratory muscle fatigue, paradoxical chest movement, peripheral edema