6 Respiratory - COPD Flashcards Preview

Clinical > 6 Respiratory - COPD > Flashcards

Flashcards in 6 Respiratory - COPD Deck (28):
1

Bronchitis is

inflammation of the airways

2

Bronchitis is

inflammation of the airways

3

Emphysema is

destruction of the airways

4

What is COPD?

Chronic bronchitis and emphysema spectrum - most have a bit of both

5

Clinical features of COPD

Exertional dyspnoea (SOB)
Cough
Wheeze
Sputum production

Symptoms are typically fixed whiles disease is progressing (in contrast to variable asthma)

6

Best thing to do to treat COPD

stop smoking

7

How do we investigate COPD?

Spirometry

FER= FEV1/FVC

FEV1 - forced expiratory volume
FVC - forced vital capacity

8

COPD is an obstructive defect so the FER is....

9

What treatments actually improve survival (2)

Oxygen & smoking cessation

The rest improve exercise tolerance

10

Emphysema is

destruction of the airways

11

What is COPD?

Chronic bronchitis and emphysema spectrum - most have a bit of both

12

Clinical features of COPD

Exertional dyspnoea (SOB)
Cough
Wheeze
Sputum production

Symptoms are typically fixed whiles disease is progressing (in contrast to variable asthma)

13

Best thing to do to treat COPD

stop smoking

14

How do we investigate COPD?

Spirometry

FER= FEV1/FVC

FEV1 - forced expiratory volume
FVC - forced vital capacity

15

COPD is an obstructive defect so the FER is....

16

What treatments actually improve survival (2)

Oxygen & smoking cessation

The rest improve exercise tolerance

17

What treatments actually improve survival (2)

Oxygen & smoking cessation

The rest improve exercise tolerance

18

Main targets of COPD treatment

Reducing breathlessness and reducing exacerbations

19

e.g. of SABA

salbutamol

20

e.g. of LABA

salmeterol/formeterol

21

In what devices should we put LABAs?

e.g

ICS/LABA

e.g. seretide, symbacort
Fostair
Relvar
Duoresp

22

definition of exacerbation

a sustained worsening of the patient's condition from the stable state and beyond normal day-to-day variations that is acute in onset and may warrant additional treatment

23

e.g. of LAMA

tiotropium
also:
Aclidinium
Glycopyronnium
Umeclidinium

24

Where does LAMA/LABA fit into the algorythm?

Not bad enough to need ICS

25

Where does LAMA/LABA fit into the algorythm?

Not bad enough to need ICS

26

What is LTOT?

Long term oxygen therapy

27

Who should be referred for LTOT?

-Patients with SaO2

28

who might be appropraite for ambulatory oxygen?

in hypoxic patients already on LTOT