COPD vs. Asthma | Patient Groups | Treatment Plans | Clinical Pearls of Drug Therapy |
---|---|---|---|
What is COPD?
The condition more associated with older age
|
Who is Patient Group B?
Patient with FEV1 = 75%, CAT score of 12, with no exacerbations over the past 12 months
|
Short-acting beta-2 agonist
Short-acting anticholinergic
These two drug classes are first-line options in Patient Group A
|
Long-acting anticholinergic + Short-acting anticholinergic
When these two categories of medications are used concurrently, there is increased risk of adverse events with no therapeutic benefit
|
What is asthma?
The condition that is characterized by reversible airway limitation
|
Who is Patient Group D?
Patient with FEV1 = 45%, CAT score of 10, with one hospitalization due to a COPD exacerbation in the last 12 months
|
What is roflumilast (Daliresp)?
This relatively new oral agent for COPD may be first considered as add-on therapy in Patient Group C
|
What is rinsing your mouth?
This is the best counseling tip for patients on inhaled corticosteroids to avoid oral thrush
|
What is COPD
The condition that is considered to be more progressive in onset
|
Who is Patient Group A?
Patient with FEV1 = 83%, CAT score of 7, with no exacerbations over the last 12 months
|
What is the pneumococcal vaccine
The vaccine that should be given in patients older than age 65 with COPD
|
What is 8 - 15 mcg/mL?
This is the goal serum concentration for theophylline.
|
What is COPD
The condition associated with a productive cough
|
Who is Patient Group D?
Patient with FEV1=25%, mMRC grade 3, with 5 exacerbations over the past year
|
What is the use of long-acting beta-2 agonist as monotherapy?
This is the main difference in treatment of COPD versus treatment of asthma
|
What are anticholinergics?
The class of medication used in COPD that can cause dry mouth.
|
What is asthma?
The condition often related to allergies
|
Who is Patient Group C?
Patient with FEV1=39%, mMRC grade 1, with 1 hospitalization associated with a COPD exacerbation
|
What is once daily dosing?
This is a benefit of using a long-acting anticholinergic over using currently prescribed long-acting beta-2 agonists.
|
What is depression?
The comorbid condition in which roflumilast should be used in caution
|