Management of COPD + Asthma Flashcards
1
Q
Acute exacerbation of COPD
A
Increase dose SABA (if not adequate add THEOPHYLLINE)
More purulent sputum –> ANTIBIOTIC
ORAL CORTICOSTEROIDS
OXYGEN THERAPY
MUCOLYTICS
PHYSIOTHERAPY (BiPAP?)
2
Q
Stable COPD
A
SMOKING CESSATION
Inhaled SABA or SAMA –> add LABA or LAMA –> add LAMA or LABA –> add ICS (if FEV<50%)
MUCOLYTICS (chronic phlegm)
LTOT if necessary (cor pulmonale, hypoxaemia, cyanosis, polycythaemia)
3
Q
Asthma management
A
SABA
Add inhaled steroid
Add LABA
Increase dose inhaled steroid
Add oral steroid