COPD

Question 1

What is COPD?

Answer 1

Obstructive lung disease

FEV1/FVC <=70%

Question 2

How is COPD graded?

Answer 2

I: mild, FEV1 <30

Question 3

What is a COPD exacerbation?

Answer 3

Increased cough/dyspnea
Increased sputum production
Change in sputum colour

Question 4

How to manage an acute COPDE?

Answer 4

O2: non-invasive or BiPAP
Short acting bronchodilators (salbutamol + ipratropium)
Systemic corticosteroids
Antibiotics (sometimes)

• NOT inhaled steroid
• NOT theophylline

Question 5

How to manage chronic COPD?

Answer 5

Tiotropium (long acting anticholinergic)
Advair (salmeterol + fluticasone) = long acting beta agonist + inhaled corticosteroid
PRN salbutamol

Annual flu vaccine
Pneumovax