Nuggets of knowledge: COPD - Devon Training Hub · ABC 3 approach Modified from GOLD 2020 ....
27
Nuggets of knowledge: COPD
Transcript of Nuggets of knowledge: COPD - Devon Training Hub · ABC 3 approach Modified from GOLD 2020 ....
Aims of the session
Diagnosis
Symptoms
Risk factors
Key features of quality spirometry
Treatment aims
GOLD 2020 guidance
Modified MRC v CAT
Annual exacerbation rate
NICE 2019
NICE 2019
NICE 2019
SABA SAMA
No asthma? LABA LAMA
Consider triple therapy
Reversible element?
ICS LABA
Consider triple therapy
GOLD 2020 guidance
or ≥ 1 leading to hospital admission
(not leading to hospital Admission)
Initial treatment choices: GOLD
Inhaler choice - considerations
Brand name LABA – name
and dose per
puff
LAMA - name
and dose per
puff
Device Dose
Anoro ™ Vilanterol
22mcg
Umeclidinium
55mcg
Ellipta 1 puff once daily
Duaklir ™ Formoterol
12mcg
Aclidinium
340mcg
Genuair 1 puff twice
daily
Ultibro ™ Indacaterol
110mcg
Glycopyrronium
50mcg
Breezhaler 1 puff once daily
Spiolto ™ Olodaterol
2.5mcg
Tiotropium
2.5mcg
Respimat 2 puffs once
daily
Eosinophils and ICS: GOLD 2020
200/6 or 400/12
92/22 only
160/4.5 or 320/9
100/6
100/6
200/6
Moving up
Triple therapy
ABC 3 approach Modified from GOLD 2020
COVID-19 and COPD
Greg age 57
Resources
