Can you name the Thera2-COPD.OBJ?

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T or F: Theophylline is a last line therapy because of serum monitoring and it's toxic effects.
Product containing mometasone + formoterol
Tiotropium Therapeutic Use
The recommended duration of therapy for oral glucocorticosteroids in a COPD exacerbation is __ days.
Does a non-productive cough in COPD pts lean more towards emphysema or bronchitis?
T or F: 'At home' management of exacerbations can include: intensifying inhaled therapy, initiating antibiotics (if bacterial infection confirmed), and beginning oral glucocorticos
Severe Stage COPD therapy includes the same recommendations as moderate stage COPD, but with the option of adding a(n) ___________ if repeated exacerbations.
Oral glucocorticoids should only be given to COPD pts suffering an exacerbation if they are Stages __-__
Dosing and Frequency of Salmeterol
T or F: The 2 main goals of Tx are to: reduce risk factors and treat Sxs with medications while minimizing adverse effects.
Dosing and Frequency of Advair HFA
COPD's pulmonary component is progressive and characterized by air flow limitation that is ___________, indicating fixed airway narrowing.
T or F: All Sxs must be present in order to diagnose COPD.
The two most common causes of exacerbations are ________ ________ and air pollution.
Term for a chronic production cough with unknown etiology.
T or F: Sputum production (in those with COPD) can precede airflow limitation by several years.
Product containing Fluticasone + Salmeterol
T or F: The post-bronchodilator FEV1/FVC ratio is < 0.80 in COPD.
T or F: The BODE index addresses the importance of systemic manifestations of COPD and effect on mortality.
T or F: In COPD pts, dyspnea is progressive and worsens w/ exercise.
Dosing and Frequency of Advair Diskus
T or F: Leukotriene Modifiers have been shown to be beneficial in COPD treatment.
Maximum number of doses per day of Duoneb
Main example of a methylxanthine
T or F: Patient education can improve patient's ability to cope with illness and can improve medication adherence and admin technique.
Mild Stage COPD therapy includes active reduction of risk factors; vaccinations; and the addition of a ____________ (when needed).
T or F: Only 1 vaccination is recommended for COPD pts.
T or F: All COPD pts benefit from exercise training programs. Results include: decreased exercise tolerance and decreased Sxs of dyspnea.
Asthma is distinguished by _________ in lung function with bronchodilator administration.
Moderate Stage COPD therapy includes the same recommendations as the mild stage but adds regular treatment with one or more ___________ (when needed).
T or F: Rehabilitation in COPD is important because it can address non-pulmonary issues.
In COPD, decreased gas exchange results in hypoxemia and ___________.
Dosing and Frequency of Dulera
T or F: A cough (in those with COPD) can precede airflow limitation by several years.
Salmeterol Brand Name
T or F: LABAs are approved as monotherapy in COPD
Stage of COPD if FEV1 > 80% predicted
Dosing and Frequency of Symbicort
Mometasone Brand Name
T or F: Very Severe Stage COPD pts shouldn't consider surgical tx as a therapy option.
The three main Sxs of COPD are: cough, sputum production, and ________.
Mucolytics are or are not recommended in COPD pts.
T or F: Spirometry measurements are accurate during an exacerbation.
T or F: Antibiotics can increase antibiotic resistance and are only indicated in the presence of a bacterial infection.
True or False: Rehabilitation may be added into therapy for Moderate stage COPD.
Fluticasone Brand Name
T or F: Inhalation exposures are the biggest risk factor for COPD.
Dosing and Frequency of Tiotropium
MDI product with an albuterol base + ipratropium
Budesonide Brand Name
T or F: Evidence suggests that thinning or increasing the clearance of mucous secretions (via mucolytics OR increased fluid intake) is beneficial.
T or F: The three 'types' of COPD are only diagnosed as a form of COPD when airflow limitation is irreversible.
Just the frequency of Duoneb
Stage of COPD if FEV1 < 80% predicted
T or F: Antitussives are okay to use in COPD pts.
Hypoxic vasoconstriction of small pulmonary arteries can cause _____________ __________.
A short course of prednisolone (___-40mg) may be given to COPD pts during an exacerbation.
This COPD 'type' is an abnormal permanent enlargement of airspaces accompanied by destruction of alveolar walls and reduced elasticity.
T or F: In COPD pts, dyspnea is initially intermittent and eventually becomes persistent (daily).
Dosing and Frequency of Albuterol
Dosing and Frequency of Combivent
Nebulizer product with an albuterol base + ipratropium
This COPD 'type' is characterized by increased mucous.
_________ use in end-stage COPD to control dyspnea may have serious adverse effects such as respiratory depression.
Product containing budesonide + formoterol
Dosing and Frequency of Fluticasone
T or F: Spirometry is used in COPD to index disease severity, confirm airway limitation, assess response to therapy, monitor for disease progression, differentiate between asthma a
Dosing and Frequency of Mometasone
Tiotropium Drug Class
Cor pulmonale is indicated by _____ of the ankles.
Tiotropium Brand Name
T or F: Smoking cessation is the only known risk factor reduction proven to improve FEV1.
Inhalation exposures (COPD risk factors) include: occupational dust, gas, and fumes, indoor and outdoor air pollution, and __________.
Formoterol Brand Name
Dosing and Frequency of Budesonide
The two vaccinations recommended in COPD are: __________ & ___________
What is the most effective (and cost effective) intervention to slow progression of COPD?
Very Severe Stage COPD therapy builds off Severe Stage therapy but allows for the addition of long-term ____ if in chronic respiratory failure.
COPD can lead to ____-sided HF.
T or F: Patient education improves patient response to exacerbations.
T or F: Bacterial infections are more common than viral.
This COPD 'type' has structural changes demonstrated by narrowing of peripheral airways due to fibrosis.
COPD exacerbations are characterized by all of the following except: a) change in baseline dyspnea; cough and/or sputum production b) FEV1 < 60% c) acute onset d) warranting a chan
Ipratropium Brand Name
Dosing and Frequency of Ipratropium
Does a productive cough in COPD pts lean more towards bronchitis or emphysema?
Stage of COPD if FEV1 < 50% predicted
T or F: Continuous prophylactic use of antibiotics has been shown to decrease exacerbations.
What other pharmacologic therapy is utilized in the end stage of COPD to 'trick' the brain into thinking breathing is easier?
T or F: Patient education is important during all stages of COPD.
Stage of COPD if FEV1 < 30% predicted OR FEV1 < 50% predicted w/ chronic respiratory failure
Dosing and Frequency of Formoterol
Which of the following is not a culprit of bacterial respiratory infections: Streptococcus pneumoniae; Haemophilus influenzae; Legionella pneumophilia; or Moraxella catarrhalis.
T or F: Intensifying inhaled therapy for an exacerbation could involve increasing the dose or frequency of short-acting agents and adding an anticholinergic agent if pt isn't alrea

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