Management of COPD Flashcards
1
Q
Describe the non-pharmacological management of COPD
A
- Smoking cessation
- Vaccines: annual flu, Pneumococcal
- Pulmonary rehabilitation
- Nutritional assessment
- Psychological support
2
Q
Describe the pharmacological management of COPD
A
Inhaled therapy;
- Short-acting bronchodilators (SABA, SAMA)
- Long-acting bronchodilators (LABA, LAMA)
- High dose inhaled corticosteroids (ICS)
3
Q
Define pink puffers
A
- Increased alveolar ventilation
- Near normal PaO2
- Normal/low PaCO2
- SOB but no cyanosis
- May progress into type I respiratory failure
4
Q
Define blue bloaters
A
- Decreased alveolar ventilation
- Low PaO2
- High PaCO2
- Cyanosis but no SOB
- Insensitive to CO2, thus rely on hypoxic drive to breath
5
Q
Under what terms would long term oxygen be given to a COPD patient?
A
- PaO2 <7.3kPa (normal = 10.3-13.3)
OR - PaO2 7.3-8kPa if: polychythaemia, nocturnal hypoxia, peripheral oedema, pulmonary hypertension
6
Q
Describe the pharmacological management of acute exacerbation of COPD
A
- Short-acting bronchodilator
- Steroids
- Antibiotics
- Hospital admission if: tachypnoea, low O2 SAT, Hypotension
7
Q
What investigation are done to assess for respiratory failure?
A
- Clinical
- Arterial blood gas
8
Q
What treatment is performed for acute respiratory failure?
A
Non-invasive ventilation.
