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18 Cards in this Set
- Front
- Back
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T/F Statins may be good for COPD.
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True. Some evidence that statins are associated with reduced mortality in COPD.
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What scoring scale is used to stage COPD?
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BODE scale:
BMI Obstruction (FEV1%) Dyspnea Exercise (6 minute walk) 0-2 points 80% 4 year survival 3-4 points 70% 5-6 points 60% 7-10 points 20% |
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The [heavier, lighter] you are, the longer you live with COPD.
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heavier.
Lighter pts suffering from malnutrion are at much greater risk. |
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What are the two main bases of diagnosing COPD?
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1. smoking
2. spirometry |
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FEV1/ FVC measure defining diagnosis of COPD.
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< 70%
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Long acting bronchodilators for COPD
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salmeterol
formeterol tiotroprium (anticholinergic) |
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Short acting bronchodilators for COPD
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albuterol, ipratroprium
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Definition of intermittent asthma and treatment
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"No daily medications are needed, no weekly medications are needed" (shortcut definition)
FEV1 >80% Day sx < 1/week Night sx < 2/month few exacerbations Tx: SABA albuterol (Ventolin, Proventil) terbutaline (Brethair) pirbuterol (Maxair) |
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Definition of mild persistent asthma and treatment
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"No daily medications are needed, but weekly medications ARE needed"
FEV1 >80% Day sx are > 1/week Night sx are > 2/month SABA + Low dose inhaled corticosteroids: beclomethasone (Beclovent, Vanceril) flunisolide (AeroBid) triamcinolone (Azmacort); can add Singulair (montelukast) |
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Definition of moderate persistent asthma and treatment
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"Daily medication"
FEV1 = 60%-80% Day sx daily Night sx > 1/week exacerbations limiting Tx: SABA prm + low to MEDIUM dose inhaled steroids and + LONG ACTING inhaled OR ORAL beta-agonists (LABA) (salmeterol = LABA) Advair = salmeterol and fluticasone |
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Advair is composed of what two drugs? What level of asthma is it used for?
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Advair = salmeterol and fluticasone
for moderate persistent asthma |
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Definition of severe persistent asthma and treatment
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"Daily symptoms day and night"
FEV1 = <60% Day sx daily Night sx frequently exacerbations frequent and limiting Tx: HIGH DOSE inhaled corticosteroids + LABA + the usual SABA prn |
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Leukotriene blockers are good asthma therapy for patients with what variant?
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aspirin sensitivity patients
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Nedocromil/cromolyn is good asthma therapy for patients with what variant?
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exercise induced asthma
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T/F Pulsus paradoxus can be found in an asthma exacerbation.
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True
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If giving continued corticosteroids to asthma exacerbation pt in hospital, whatshould you be checking for?
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check for hypokalemia and tachycardia
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When is ozmalizumab used for asthma treatment?
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allergy-induced asthma
ozmalizumab is an anti-IgE agent |
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What is the use of ipratropium in asthma treatment?
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Inhaled anticholinergics improve delivery of the beta-2 agonists.
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