COPD

Question 1

CAT A (Gold 1-2 Min s/s, Low Risk exacerbation)
FEV1 > 80 predicted

Answer 1

SABA
Albuterol, levoalbuterol (“terol”)
or
SAMA
Ipatropium (Atrovent) (“tropium”)

Question 2

CAT B (Gold 1-2 More s/s, low risk) 
50%

Answer 2

LAMA 
Tiotropium (Spiriva-) (“tropium”)
or 
LABA 
Formeterol, salmeterol (“terol”) 

May use SABA for rescue

Question 3

CAT C (Gold 3-4 Min s/s, high risk) 
30%

Answer 3

LAMA first line
Tiotropium (Spiriva-) (“tropium”)

Can add LABA + ICS

Question 4

CAT D (Gold 3-4 More s/s, high risk)
FEV1<30%predicted

Answer 4

LAMA first line
Tiotropium (Spiriva-) (“tropium”)

Can add LABA + ICS
Refer to Pulmonary