More COPD Questions Flashcards
COPD is defined by post-bronchodilator FEV1/FVC ratio of what?
< 0.7
(Group A) mMRC 0, 1 CAT <10 exacerbations <2/year
What to recommend?
And if after recommendation symptoms persist?
Recommend first: SABA prn, SAMA prn, LABA, or LAMA
If symptoms persist:
Try a different
(Group B) mMRC ≥ 2, CAT ≥10 exacerbations <2/year
What to recommend?
And if after recommendation symptoms persist?
Recommend first:
LAMA or LABA
If symptoms persist:
LAMA + LABA
(Group C)
mMRC 0,1
CAT < 10
exacerbations
≥ 2/year
What to recommend?
And if after recommendation symptoms persist?
Recommend first:
LAMA
If symptoms persist:
LAMA + LABA
(Group D)
mMRC ≥ 2,
CAT ≥10
exacerbations
What to recommend?
And if after recommendation symptoms persist?
Recommend first:
LAMA,
LAMA+LABA,
LABA + ICS
And if after recommendation symptoms persist?
LAMA+LABA+ICS
Are ICS single products FDA approved for COPD?
No.
What is Non-Pharmacologic Therapy for COPD?
❖ Smoking cessation
❖ Oxygen supplement
❖ Pulmonary rehabilitation
What is the classification of Gold 1 for COPD?
Mild FEV1 ≥ 80%
predicted
What is the classification of Gold 2 for COPD?
Moderate FEV1 50-79%
predicted
What is the classification of Gold 3 for COPD?
Severe FEV1 30-49%
predicted
What is the classification of Gold 4 for COPD?
Very Severe FEV1 < 30%
predicted
What is the Risk Exacerbation Hx for hospitalization?
≥ 2 or ≥ 1
0 or >1 no hospitalization
For a selected Metered-Dose Inhaler - after inserting the canister into the actuator you need to shake the inhaler for 5 seconds immediately before each dose (Except Atrovent). True or False?
True
For the Select Metered-Dose Inhaler (MDI) the fifth step is to press the top of the top of the canister while breathing slowly and deeply. True or false
True
For the Diskus - after pushing the thumb grip to reveal the mouthpiece - you need to hold the Diskus horizontally and slide the level until it clicks. True or false?
True
What inhalers requires slow deep breathing?
Select Metered-Dose Inhaler (MDI)
Elipta note this requires one long deep breath
Respimat
What inhalers require quick and deep breathing?
Diskus, Handihaler, and the Pressair
After breathing deeply you should hear the capsule rattle in which inhaler?
HandiHaler
Obtain a capsule from the blister
pack and place it into the chamber in which inhaler?
HandiHaler
You need to inhale twice to obtain a full dose from this inhaler
HandiHaler
This inhaler has a clear base. To use it you will turn it toward the direction the arrows in until it clicks.
Respimat
This inhaler has a thumb grip. You need to push the thumb grip to reveal the mouthpiece then you will hold it horizontally and slide the lever until it clicks.
Diskus
