Module 4 - Intro COPD and treatment of stable

Question 1

Primary Prevention of COPD

Answer 1

• no smoking, irritants, pollutants, life style, etc

Question 2

Symptoms of COPD

Answer 2

• chronic progressive dyspnea
• cough
• increased sputum production
• wheezing and chest tightness
• fatigue
• anorexia
• syncope
• rib fracture
• ankle swelling
• depression/anxiety

Question 3

• Classification of Severity of Airflow Limitation

Answer 3

patients with post bronchodilator FEV1/FVC <0.70

GOLD 1 - mild - FEV1 > 80%
GOLD 2 - mod - 50% < FEV1 < 80%
GOLD 3 - sev - 30% < FEV1 < 50%
GOLD 4 v. sev - FEV1 < 30%

Question 4

• CAT Assessment

Answer 4

assessment of symptoms
- low symptom severity < 9
- high symptom severity >10

Question 5

• ABCD Assessment Tool

Answer 5

Look at Table Card

Question 6

• Initial Inhaler Treatment for Group A

Answer 6

Group A: patients with CAT score of < 10 with 1 or more exacerbation + no COPD related hospitalizations per year

• provide short or long term bronchodilator
  > start with a short acting bronchodilator PRN
  > long acting bronchodilator can be added for patients
  symptoms
  
  • tiotropium may improve lung function and reduce
    exacerbations that require abx or systemic steroids
    but has NOT been shown to reduce
    hospitalizations
    - short acting bronchodilators, scheduled or PRN,
    have not been shown to reduce exacerbations

Question 7

• Initial Pharm Treatment

Answer 7

2 or more moderate exacerbations or 1 or more leading to a hospitalizations
GROUP C: LAMA
GROUP D: LAMA or LAMA+LABA or ICS+LABA

0 or 1 moderate exacerbations not leading to hospitalizations
GROUP A: bronchodilator
GROUP B: LAMA or LABA

look at table way easier