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COPD

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jennifer12345's version from 2018-09-25 18:49

Section 1

Question Answer
clinical presentation chronic bronchitisblue bloaters, cyanosis, edema, tachycardia
clinical presentation of emphysemapink puffer, tachypnea, use of accessory muscles
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Section 2

Question Answer
Grade 0FEV1/FVC > 0.70, FEV1 > 80%
Grade 1FEV1/FVC < 0.70, FEV1 > 80%
Grade 2FEV1/FVC < 0.70, FEV1 between 50-80%
Grade 3FEV1/FVC < 0.70, FEV1 < 50%
Grade 4FEV1/FVC < 0.70, FEV1 < 30% or if chronic respiratory failure less than 50%
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Section 3

Question Answer
Beta adrenergic agonists- short acting (SABA)albuterol, fenoterol, levalbuterol, terbutaline
Beta adrenergic agonists- long acting (LABA)salmeterol, formoterol, oladaterol, vilanterol
Anticholinergics- short acting (SAMA)ipratroprium bromide, oxytropium,
Anticholinergics- long acting (LAMA)tiotropium
Inhaled glucocorticosteroidsfluticasone, beclomethasone, budesonide
Phosphodiesterase 4 inhibitorsroflumilast
Macrolidesazithromycin
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Section 4

Question Answer
Side effects of beta 2 agoniststachycardia, palpitations, tremor
Side effects of anticholinergicsdry mouth cough. Caution with glaucoma, BPH, bladder neck obstruction, peanut allergy
Side effects of inhaled glucocorticosteroidsoropharyngeal candidiasis, dysphonia
Side effects of theophyllinenausea, diarrhea, tremor, anxiety, seizures, cardia dysrhythmia
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Section 5

Question Answer
Bronchodilators include beta 2 receptors, anticholinergicsTrue
Bronchodilators are symptom relief, while glucocorticoids and leukotriene stop inflammationTrue
Theophylline is not a bronchodilatorFalse
Phosphodiesterase 4 inhibitors are considered for late stage COPDTrue
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Section 6

Question Answer
Treatment of patient with intermittent symptoms and need rescue treatmentshort acting bronchodilator (albuterol, levalbuterol, or ipratropium)
Treatment of stable pt with FEV1 60-80%long acting bronchodilator (salmeterol, formoterol, oladaterol, vilanterol, or tiotropium)
Treatment of stable pt with FEV1 < 60%long acting bronchodilator, or combination product
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Section 7

Question Answer
Treatment of mild exacerbationshort acting bronchodilators only (albuterol, fenoterol, levalbuterol, or ipratropium/oxytropium)
Treatment of moderate exacerbationshort acting bronchodilators plus antiboitcis and/or corticosteroids
Treatment of severe exacerbationhospitalization
Treatment of infectious exacerbationmacrolides, doxycycline, tmp/sulfa, cephalosporins, augmentin
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Section 8