Respiratory System - COPD

Question 1

Define COPD?

Answer 1

Airflow obstruction which is NOT fully reversible

Question 2

What is the expected FEV.1/FVC ratio observed in COPD?

Question 3

What is the expected FEV.1/FVC ratio observed in COPD?

Question 4

What is the expected FEV.1/FVC ratio observed in COPD?

Question 5

Name five risk factors associated with COPD?

Answer 5

Genetics (a1 trypsin deficiency)
Smoking
Socio-economic standing
Low birth weight
Occupation

Question 6

Name four signs observed in COPD?

Answer 6

Tachypnoea
Pursed lipped breathing
Hyperinflation - barrelled chest
Use of accessory muscles

Question 7

Describe an investigation that would distinguish COPD from asthma?

Answer 7

Obstructive spirometery would show minimal improvement following brochodilator therapy

Question 8

Name four non-pharmacological forms of management for COPD?

Answer 8

Smoking cessation
Diet
Education
Pulmonary rehab

Question 9

Name the corticosteroid used in the treatment of COPD and state when it is used?

Answer 9

Beclomethasone

Used only when FEV.1

Question 10

Name the mucolytic used in the treatment of COPD?

Answer 10

Carbociestiene

Question 11

Name two antimuscurinics (bronchodilator) used in COPD treatment?

Answer 11

Ipatroprium bromide

Tiotroprium

Question 12

Describe the management of a COPD exacerbation?

Answer 12

CONTROLLED O2 therapy
Antibiotics
Brochodilators
Corticosteroids
If respiratory failure - NIV
Adjunct treatment with fluids, diuretics, anticoagulants, analgesia