COPD

Terms in this set (10)

What are the three subtypes of COPD?

Chronic bronchitis
Emphysema
Chronic obstructive asthma

What is the triad of COPD symptoms?

Dyspnoea
Cough
Sputum - 60mls max

What is the definition of COPD on spirometry (in terms of FEV/FVC and predicted FEV1)?

FER (FEV1/FVC) <0.7
< 80% predicted FEV1

What should you look for in a COPD patient on CXR?

Rapidly tapering vascular shadow
Hyperlucency
Squared ribs
Flattened diaphragm
Bullae

What are some important differentials for COPD?

Heart failure
Asthma
Bronchiectasis
Bronchiolitis obliterans
Diffuse panbronchiolitis

What medications might be useful in COPD?

Short-acting beta-agonists (salbutamol)
Short-acting muscarinic antagonists (ipratropium bromide)
Long-acting beta-agonists (salmeterol)
Long-acting muscarinic antagonists (tiotropium bromide)
Inhaled corticosteroids
Inhaled N-acetylcysteine

What non-pharmacological measures might be useful in COPD?

Smoking cessation
Pulmonary rehabilitation
Oxygen therapy

What are the indications for oxygen therapy?

Sats<88%
PaO2<55

Which bugs often cause infective exacerbations of COPD?

Streptococcus pneumoniae
Haemophilus influenzae
Moraxella catarrhalis

What dose of oral prednisolone is typically used in COPD exacerbations?

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