COPD

Question 1

Sx of COPD

Answer 1

Dyspepsia, Cough, sputum production

Smoking

Question 2

Diagnose COPD

Answer 2

Spirometry: FEV1/FVC <0.70

Question 3

Severity of COPD

Answer 3

GOLD 1: ≥80%
GOLD 2: 50-79%
GOLD 3: 30-49%
GOLD 4: <30%

Question 4

How to assess symptom severity

Answer 4

mMRC (0-4)
CAT (0-40)

Question 5

What is a COPD exacerbation

Answer 5

↑ in respiratory sx over <14 days → hospitalization can lead to death

Question 6

Non drug treatment for COPD

Answer 6

1. Smoking cessation
2. Flu vacccine
3. Pneumococcal vaccine

Question 7

Group A

Answer 7

Bronchodilator: SAMA, SABA, LAMA, LABA

Question 8

Group B

Answer 8

LAMA + LABA

Question 9

Group E

Answer 9

LABA + LAMA +/- ICS

Question 10

Ipratropium

Answer 10

Atrovent HFA

Question 11

Ipratropium/Albuterol

Answer 11

Combivent Respimat

Question 12

Dosing of ipratropium

Answer 12

2 inhalation Q4-6HPRN

Question 13

Dosing of Combivent

Answer 13

1 inhalations Q4-6H PRN

Question 14

Tiotropium

Answer 14

Spiriva Handihaler or Respimat

Question 15

Glycopyrollate/formoterol

Answer 15

Bevespi Aerophere

Question 16

Glycopyrollate/formoterol/budesonid

Answer 16

Breztri Aerosphere

Question 17

Umeclidinium

Answer 17

Incruse Ellipta

Question 18

Umeclidinium/Vilanterol

Answer 18

Anoro Ellipta

Question 19

Umeclidinium/Vilanterol/Fluticasone

Answer 19

Trilogy Ellipta

Question 20

ADR of LAMA and SAMA

Answer 20

Dry mouth

Question 21

What are Handihaler’s?

Answer 21

DPIs that come with capsules → don’t swallow

Question 22

What are Pressair

Answer 22

DPIs that have an indicator that turns from green to red

Question 23

Salmeterol

Answer 23

Severent Diskus

Question 24

Salmeterol/Fluticasone

Answer 24

Advair Diskus

Question 25

Formoterol

Answer 25

Perforomist

Question 26

Formoterol/budesonide

Answer 26

Symbicort/Breyna

Question 27

Vilanterol/fluticasone

Answer 27

Breo Ellipta

Question 28

ADR of LAMA

Answer 28

Nervousness, tremor, tachycardia, palpitation, hyperglycemia, low K

Question 29

MOA of Roflumilast

Answer 29

PDE-4 inhibitor that ↑ cAMP → reduction in lung inflammation

Question 30

ADR of roflumilast

Answer 30

Diarrhea, weight loss

Question 31

Counseling of Atrovent HFA

Answer 31

1. Prime: spray 2 times and prime again if > 3 days since last use 2. Don't shake 3. Keep eyes closed 4. Slowly and deeply breathe 5. Hold breathe for at least 10 seconds Rinse the mouth piece QW

Question 32

What are the respimat products

Answer 32

Albuterol/ipratropium (Combivent Respimat) Oladaterol (Striverdi) Oladaterol/Tiotropiom (Stiolto) Tiotropium (Spiriva)

Question 33

Counseling on Respimat inhalers

Answer 33

1. Turn the clear base till click 2. Open cap → breathe out away from mouthpiece 3. Slow breath and press the dose release → hold breath for 10 sec Clean mouthpiece with damp cloth or tissue QW

Question 34

Counseling on Tiotropium (Spiriva Handihaler)

Answer 34

1. Open the device pressing the green button → open mouthpiece 2. Insert spiriva capsule into chamber 3. Press green button once 4. Turn head and breathe out 5. Raise and position horzontally and deep fully and deeply 6. Inhale twice to get full dose

Question 35

Counseling on Pressair inhalers

Answer 35

1. Remove protective cap → lightly squeezing 2. Press green button down and window changes from red to green 3. Breathe out 4. Seal mouthpiece with lips and breathe in quickly and deeply until click 5. Check if window turned red and place protective cover back on

Question 36

Counseling of Ellipta inhalers

Answer 36

1. Open cover until click 2. Breathe out 3. Put mouth on piece and take steady deep breathe 4. Don't block air vent with fingers 5. Remove and hod breathe for 3-4 secs