COPD

Question 1

what is used PRN for COPD

Answer 1

SABA or SAMA

Question 2

if FEV is >50% what is the treatment path

Answer 2

LABA or LAMA

of this doesnt work try
LABA/ICS

Question 3

if FEV is

Answer 3

LAMA or LABA/ICS

if this doesnt work give all three

Question 4

if symptomps persist on COPD triple therapy what should be used (3)

Answer 4

oral aminophylline or theophylline
and then
roflumilast

Question 5

what could be considered for productive cough for COPD

Answer 5

mucolytic

Question 6

what duration of pred should be given for COPD exacerbation

Answer 6

7-14 dats

Question 7

when is antibacterial therapy needed for COPD

Answer 7

if sputum is purilent or there are signs of infection

yum yum

Question 8

how to administer oxygen to a COPD patient

target

Answer 8

24-28% through venturi facemask to avoif hypercapnia

88-92%

Question 9

what are normal target o2 sats in patients without copd

Answer 9

94-98%

Question 10

how many hours per day is long term oxygen therapy

Answer 10

usually at least 15

Question 11

oxygen from a cylinder should be passed though a …………. before used if used for long periods

Answer 11

humidifyer

Question 12

why should patients on nebulisers protect their eyes from ipratropium

Answer 12

acute closed angle glaucoma can occur

Question 13

what are the main side-effects of inhaled antimuscurins

Answer 13

arrhythmias (AF)- therefore caution in cardiac disorders

also all those antimuscurinic side-effects although these are rare with inhaled therapies

Question 14

what is a caution of IV beta ag in diabetes

Answer 14

risk of ketoacidosis and hyperglycaemia

Question 15

what are the effects of beta ag on electrolytes

Answer 15

low K

this is extra caution is asthma as lots of other drugs cause it - theophylline, steroids, duiretics

Question 16

what should be monitored when giving IV beta ag

Answer 16

k in severe asthma

blood glucose in diabetes

Question 17

duration of action of formeterol

Answer 17

12 hours

Question 18

CHM warning about formeterol and salmeterol

Answer 18

only add to ICS (not prescribed alone)
not be initiated in rapidly deteriorating asthma
be discontinued in the absence of benifit
report deteroiration of symptoms (parodoxical bronchosmasm)

Question 19

if salbutamol is being used for premature labour what should be monitored

Answer 19

pulse
bp
ecg
glucose
lactate
fluid and electrolytes (overhydration)

basically everything

Question 20

how to use ICS to test between asthma and copd

Answer 20

clear improvement with 3-4 weeks of ICS suggests asthma