COPD + asthma guidlines

Question 1

What is first line management for someone with COPD?

Answer 1

SABA/SAMA

Question 2

What is a name of a SAMA?

Answer 2

ipratropium

Question 3

What is second line management of COPD after a SABA/SAMA?

Answer 3

Depends on asthma responsiveness

Question 4

What are features of asthma responsiveness in COPD?

Answer 4

any previous, secure diagnosis of asthma or of atopy
a higher blood eosinophil count - note that NICE recommend a full blood count for all patients as part of the work-up
substantial variation in FEV1 over time (at least 400 ml)
substantial diurnal variation in peak expiratory flow (at least 20%)

Question 5

What is the second line management of COPD after SABA/SAMA with asthma responsiveness?

Answer 5

(SABA/SAMA) + LABA + ICS

Question 6

What is the second line management of COPD after SABA/SAMA with no asthma responsiveness?

Answer 6

(SABA/SAMA) + LABA + LAMA

Question 7

What is third line management of COPD with asthma responsiveness?

Answer 7

Same for both -SABA/SAMA + LABA + LAMA+ ICS

Question 8

What is third line management of COPD with asthma responsiveness?

Answer 8

Same for both - SABA/SAMA + LABA + LAMA+ ICS