COPD

Organize these symptoms into the right categories

Groups:

(a) Typical COPD

,

(b) Cor pulmonale

,

(c) Alt Dx

• Diurnal sx

• Hepatomegaly

• Wheeze

• Tachycardia

• Barrel chest

• Reflux

• Recurrent cough

• Tracheal deviation

• Raised JVP

• Haemoptysis

• Chest pain

• Regular sputum

• Recurrent LRTI

• Cachexia

• Peripheral oedema

• SOB

• Cyanosis

How fatal is COPD worldwide?

• 4th leading cause of death

• 7th leading cause of death

• 10th leading cause of death

• 12th leading cause of death

• 15th leading cause of death

What is his MRC dyspnoea score?

• Scale 1

• Scale 2

• Scale 3

• Scale 4

• Scale 5

What test(s) would you expect the GP to have performed at first diagnosis of COPD? (There may be more than one answer)

• CXR

• Bloods

• Spirometry

• Height & weight

• Chest circumference

What inhalers would you expect Harold to be on?

• SAMA only

• SABA only

• SABA PRN + LAMA

• SABA PRN + LAMA + LABA

• SABA PRN + LAMA + LABA + ICS

Which vaccinations should be considered in patients with COPD?

Groups:

(a) Offer vaccine

,

(b) Do not offer vaccine

• Rotavirus

• COVID-19

• Pneumococcal

• Pertussis

• Shingles

• RSV

• Influenza

What investigations would you consider in patients with SOB?

Plan: (a)  

​ (b)  

​ (c)  

​ (d)  

​ (e)  

• Salbumatol nebs
• Ipratropium nebs
• Saline nebs
• Prednisolone 30mg for 5 days
• Predisolone 5mg for 7 days
• Target sats 88-92%
• Target sats more than 88%
• Target sats 92-96%
• Amoxicillin for 5 days
• Doxycyline for 5 days

Which is these are part of the COPD discharge bundle?

Groups:

(a) Part of discharge bundle

,

(b) Not part of discharge bundle

• COPD bracelet

• Pulmonary rehab

• Rescue pack

• Annual lung cancer screen

• Self-management plan

• Inhaler review

• Oxygen alert card

• Vaccinations

• Smoking cessation

• Community COPD f/u

• Dietician advice