COPD Flashcards
(19 cards)
Is COPD progressive and reversible?
Progressive and not fully reversible
What are persistent respiratory symptoms of COPD?
dyspnoea, wheeze, chronic cough, and regular sputum production
What is the main risk factor for COPD?
Smoking
What should patients with COPD exacerbation in the last year have?
Rescue pack
What are the components of the rescue pack for COPD exacerbation?
- Oral corticosteroid (prednisolone)
- Antibiotic (Amoxicillin, Doxycycline, Clarithromycin)
What antibiotic should be avoided if taking prophylactic azithromycin?
Clarithromycin
What non-drug treatment helps with sputum clearance in COPD?
Positive expiratory pressure
What is the initial drug treatment for COPD exacerbations?
SABA/LAMA (withhold LAMA treatment if a SAMA is given)
What is the treatment protocol for hospitalized COPD patients?
Short course of prednisolone a
What additional treatment can be added if there is an inadequate response to nebulised bronchodilators?
Aminophylline
A COPD pt has non asthmatic features whilst currently taking a SAMA. What should the next step be?
LAMA + LABA (discontinue SAMA)
combined inhaler example - Anoro Ellipta
contains vilanterol and umeclidinium
LAMA - Umeclidinium or tiotropium
LABA - formoterol, salmeterol, vilanterol
A COPD pt on SABA has asthmatic features what is the next step up treatment?
LABA + ICS inahler e.g relvar ellipta
contains vilanterol and fluticasone
Give 3 examples of LAMAs?
Umeclidinium, tiotropium, glycopyrronium
Give 3 examples of LABAs?
Formotorol, vilanterol, salmeterol
Give an example of SAMA?
ipratropium bromide
What is the 3rd step of treatment for COPD?
LAMA + LABA + ICS INHALER
e.g trelegy ellipta or trimbow
What are the ingredients of Trelegy Ellipta?
ICS - Fluticasone furoate
LAMA -Umeclidinium
LABA - Vilanterol
What are the ingredients of Trimbow?
ICS - Beclometasone
LAMA - Glycopyrronium
LABA - Formoterol
When should step 3 of COPD treatment be considered?
if pt has severe exacerbation or 2+ moderate ones in a year
