List the 7 steps for Spirometry interpretation
Proventil HFA, ProAir, Xopenex is an example of ?
Aerospan, Flovent, Pulmicort and Qvar are examples of ?
Foradil and Serevent are examples of ?
Atrovent, Combivent, Tudorza, and Spiriva are examples of ????
Advair, Breo, Dulera, and Symbicort are examples of?????
Gold Standard DX for COPD
Diagnostics for Asthma
Peak Flow Measurement
1. Stand___
2. Cursor at _____
3. Blow _____& _____
4. Best of _____ attempts
5. Record _______ best.
Deaths from Asthma is best reduced by....
1. written _______ plan
2. Oral _______ prior to severe attack
3. Use of Peak _____ meter ( Liters/mins.)
This type of Asthma Medication benefits those who are obese, smoke, or triad of asthma
Triad Asthma criteria
Asthma Control Test
A score of ____ is controlled asthmatic.
What medication increase the risk of pneumonia in COPD patients?
Peak Flow Monitoring
1. best lung function __ pm & lowest __am
2. ___% fluctuation is healthy
3. ___% variation DX of asthma
4. NOT USED FOR _____.
Schedule of Asthma Follow up
1st F/U within ____ month.
Routine visit ___ to ___ months.
COPD is not fully ________.
Productive cough for 3 consecutive months for 2 consecutive years.
COPD
SOB manifest at __ % of lung function
PATHO of COPD
1. increases in ______ and neutrophils.
2. ______ hyperplasia.
3. Bronchiolar ______.
4. Peribronchiolar ________.
5. Loss of _______ attachments.
COPD presentation
1. SXS present at 1 PPD for > ____ years.
2. manifestation at _____ decade: chronic cough after viral infx.
3. Dypsnea at ___ or ____ decade.
COPD Physical Exam
1. ______ and _____ expiration.
2. Chest wall _______inflation.
3. Distant _____ and ____ sounds.
4. Pursed ____ breathing.
5. Cor ______: JVD, edema, heptomegaly
COPD assessment test (CAT)
< 10
> 10
COPD Treatment : 1st Choice
Group A and B
COPD 1st choice treatment for
Group C and D
Spirometry
List the predicted values/ criteria.
____ _____ _____ (FVC) maximum volume of air exhaled
_____ _____ ______ (FEV1): volume exhaled during the first second.
Normal Lung Volume Values
FEV / FVC1 >____%
FVC > _____%
FEV1 > _____%
Obstructive vs Restrictive Disease pattern
Obstructive: FEV1 / FVC _____, FVC _____ FEV1_____
Obstructive vs Restrictive Disease pattern
Restrictive : FEV1 / FVC _____, FVC _____ FEV1_____
Obstructive Lung Diseases
Obstructive Reversibility
defined as a change of ____% post Albuterol (SABA) or Ipratropium (Atrovent) and increase of _______ mL.
CAD inflammation marker.
< 1 low risk for CV events
1-3 intermediate
>3 high
Which is an independent risk factor for CHD?
HDL, LDL, Triglycerides
What are the criteria for Metabolic syndrome?
Metabolic syndrome- 3+SXS to DX
DXD for Dyslipidemia
