COPD

Question 1

What are the two conditions that make up COPD?

Answer 1

• Chronic bronchitis
• Emphysema

Question 2

What is the FEV1/FVC ratio that indicates COPD?

Answer 2

<0.70

Question 3

What FEV1 percentage indicates moderate COPD?

Answer 3

<80%

Question 4

What FEV1 percentage indicates severe COPD?

Answer 4

<50%

Question 5

What FEV1 percentage indicates very severe COPD?

Answer 5

<30%

Question 6

What are the treatment options for a moderate exacerbation of COPD? -2

Answer 6

• Antibiotics
• Steroids

Question 7

What is the recommended treatment for low symptom burden in COPD?

Answer 7

• SABD prn
• LAMA/LABA

SABD stands for Short-Acting Bronchodilator.

Question 8

What is the treatment for high risk COPD patients? -3

Answer 8

• SABD prn
• Triple therapy
• oral therapy prn

If symptoms persist, oral therapy may be considered.

Question 9

What are the components of triple therapy for COPD?

Answer 9

• LAMA
• LABA
• ICS

This therapy is used for patients with persistent symptoms.

Question 10

What is the purpose of Daxas in COPD management?

Answer 10

Stop exacerbation

Daxas is used to reduce the frequency of exacerbations.

Question 11

What is the criteria of severe exacerbation in COPD?

Answer 11

> 3x/year

Indicates a high frequency of exacerbations, requiring more intensive management.

Question 12

What are the end-of-life (EOL) considerations for COPD patients? -4

Answer 12

• Not being kept alive on life support
• Symptom relief
• Post-discharge follow-up
• Not being a burden on family

Question 13

What mental health medication is mentioned for COPD patients?

Answer 13

Venlafaxine

Question 14

What is the role of Mucomyst in COPD management?

Answer 14

Used in history of AECOPD

Helps manage mucus production in patients with a history of acute exacerbations.

Question 15

What is the purpose of megestrol acetate in COPD?

Answer 15

Address cachexia

This medication is used to help manage weight loss in COPD patients.

Question 16

what assessments are used for COPD -4

Answer 16

mMRC, CAT, spirometry, and GOLD

Question 17

what is GOLD used for

Answer 17

COPD severity

Question 18

What is the treatment for low AECOPD risk COPD patients?

Answer 18

SABD prn
LAMA + LABA
triple therapy prn

Question 19

What is the purpose of Mucomyst in COPD management?

Answer 19

hx of AECOPD

Question 20

What is the purpose of Azithromycin in COPD management?

Answer 20

hx of AECOPD ++

Question 21

SAMA

Answer 21

stop constriction
Atrovent

Question 22

SABA

Answer 22

dilation
albuterol (rapid onset)

Question 23

SAMA + SABA

Answer 23

respimat

Question 24

LAMA

Answer 24

tiotropium (slow onset, long lasting)
common

Question 25

LABA

Answer 25

salmeterol

Question 26

LAMA + LABA

Answer 26

Anoro Ellipta

Question 27

steroid therapy (COPD)

Answer 27

LABA + ICS symbicort- asthma

Question 28

triple therapy

Answer 28

Trelegy Ellipta

Question 29

signs of EOL (COPD)-4

Answer 29

Severe Exacerbation >3x/year FEV1<30% R HF, Cachexia Resp. failure with CO2 retention

Question 30

NIV vs mechanical vent

Answer 30

NIV- ↓resp issues, may prolong dying Mech. Vent - lengthen life, ↓QOL

Question 31

death process (COPD)

Answer 31

Death is quick when withdraw treatment

Question 32

patient's experience/belief with COPD-4

Answer 32

1. Living and seeing oneself decline 2. Living and preparing to die 3. Dying of COPD means **suffocating** 4. Dying in hospital surrounded by family and friends