Review Note

Last Update: 12/28/2024 06:59 AM

Current Deck: RACGP::Respiratory

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Currently Published Content

Front

COPD
Definition of moderate?

Back

FEV1/FVC <0.70

and

FEV1 40-59%

STEPWISE MANAGEMENT
OF STABLE COPD
MILD
Typical synvtoms G) fev• symptorns
breath
O cough and sputum
Typi cat lung function FEV, — 60-80% predicted
Increasing COPD severity
MODERATE
breathless walking on
O increasing Of dany
chest
' requiring
corticosteroids
- 40-S9% predicted
O severely
@exacerbatbns of i freq uency and
FEY predicted
CONFIRM diay.o". Confirm airftow Limitation (FEV,/FVC €0.70) sp"MNtry. Any pattern of cough w•ith or witha_jt
sputum productim indicate COPD.
OPTIMISE function. PREVENT deterioration. PEVELOP a plan of
Non- i
cal
int o ns
Led
REDUCE RISK FACTORS Avdd exposue to risk factors tobacco smoke air pdlution. srnoking
cessation. recommend Muenza vaccine and pneu-rococc* vaccine to immunisatbn hmcmok
OPTIMISE FUNCTION exercise and physical activity. review nutritim, ediration. GP
rrwtagernent plan and written COPD action plan (and initiate —jlar review)
OPTIMISE TREATMENT OF co-NORBlDmES cudovascular dsease, anxiety, Lung cancer Md
osteoporosis
RE FER symptomatic to
INITIATE advanced care plartning
MANAGE advanced disease with
domicNiary oxygen therapy. long-term
non-invasive ventilation. suwy and
bronchcscopic interver&ns. if inc%cated
START With Short-acting (used as
SABA (short-acting beta,-apnis t) OR SAMA (smrt-acting
ADD tong-acting
LAMA (long-acting muscarinic antawist) OR LABA (long-acting
Ccrvs&r need for combhation LAMA/LABA depenrfng on synvtomatic
adding ICS (inhaled corticosteroids):
Sir* therapy CICYLABA/LAMA) be
and optimise device technique •t each visit. %imise inhaler device
REFER PATIENTS TO LUNG FOUNDATION AUSTRALIA FOR INFORMATION
AND SUPPORT - FREECALL 1800 654 301
Lung Foundation Australia has a range of resources to prornote
understanding of COPD and assist with
The COPO-X A us t' aOån
of copo and copo-x concise Guide
" fer to PBS criteria:
Access a copy of the COPD
inhaler chart, featuring PBS
listed medicines approved
for use in COPD.
Lung
Foundation
Australia
1800 654 301 | Lungfoundation.com.au

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