Treatment Short acting beta agonist 15 minutes before exercise 2 to 3 hours

Treatment short acting beta agonist 15 minutes before

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Treatment: Short-acting beta agonist 15 minutes before exercise (2 to 3 hours); Salmeterol lasts 10 to 12 hours (cannot use if using as long- term care medication); Mask or scarf over mouth if EIA is cold-induced; Leukotriene modifier may help COPD Diagnosis Positive when Positive when FEV1 and FVC is less than 70% chronic bronchitis: Are obese; diagnosed chronic with copious sputum production; Suffer from hypoxemia, cyanosis, and carbon dioxide retention Emphysema: older and thinner at diagnosis; barrel chested and breathe through pursed lips; Suffer from dyspnea Goal Slow disease process & maintain quality of life Drug selection Bronchodilator-mainstay of therapy for COPD Beta2-agoinist: o Short acting: acute sx relief o Long acting: monotherapy (salmeterol or formoterol) or
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combined w/ steroids (Advair or Symbicort) or long- acting muscarinic antagonist (Tiotropium) for reduce COPD exacerbation o Ultralong acting Anticholinergic drugs o (Muscarinic Agent): Atrovent & Spiriva reduce vol of sputum w/o changing viscosity o Long acting muscarinic antagonist (LAMA): Titropium reduces exacerbation and hospitalization Theophylline: the second line drug—low dose produced promising results in severe COPD has resistance to steroids Corticosteroids o Combination of high-dose inhaled corticosteroids w/ LABA (salmeterol/ fluticasone) is more effective than single use for mod-severe COPD o Oral corticosteroids: short-term treatment of acute COPD exacerbation Oxygen: Home oxygen therapy for short-term during acute exacerbation or long-term in chronic hypoxemia (15 hr/d) ; O2 sat >90% Antibiotics: Amoxicillin/clavulanic acid, macrolides, and double-strength SMX/TMP are all appropriate first-line choice; hospitalization or failure to response to the first line: respiratory fluoroquinolone for 7-14 days
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  • Spring '14
  • Henrikson,J
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