Stop Bugging Me
Most common type of infection causing AECOPD
What is viral?
Preferred route of administration for steroids in AECOPD
What is oral?
Initial inhaled therapy that should be provided to all patients admitted with AECOPD
What is a short-acting beta-2-agonist (SABA)?
The pneumococcal vaccine is recommended in COPD patients because of this benefit
What is any of the following?
Reduces risk of CAP
Reduces risk of future exacerbations and all-cause mortality
Most common type of virus causing AECOPD
What is rhinovirus?
Preferred duration of steroid use in AECOPD
What is 5-7 days?
Two patient risk factors that are considered for antibiotic use in AECOPD
What is any two of the following:
This IV bronchodilator is not recommended in AECOPD due to lack of benefit and ADRs
What is methylxanthines (aminophylline)?
The only contraindication to the use of PCV13 a history of this
Viral infections causing AECOPD result in this negative outcome
What is requires hospitalization? <OR>
What is longer duration of symptoms?
What is none? (Not needed)
Preferred antibiotic choice for AECOPD with low risk of Pseudomonas
What is any of the following:
Amoxacillin/clavulanate, tetracycline, or macrolide (less preferred)
What is 88%-92%?
This classifies a severe exacerbation
What is requiring an ED visit or hospitalization that may also include respiratory failure?
The most common bacterial infection causing AECOPD
5 mg of Prednisone is equal to this amount of Methylprednisolone
What is 4 mg?
Antibiotic of choice in AECOPD with high risk for Pseudomonas
What is either ciprofloxacin or levofloxacin?
What is respiratory acidosis? (retention of CO2)
This is the single best predictor of exacerbations regardless of COPD severity
Patients with eosinophilia have an increased risk for this type of infection
What is viral infection?
This is one benefit of using steroids in AECOPD
What is any of the following:
Reduce the likelihood of treatment failure and relapse by 1 month
Shorten the hospital length of stay
What is any of the following:
Antimicrobial therapy within 30 days
Hospitalization within 5 days
Bronchiectasis (highest risk)
This level of procalcitonin (mcg/L) may be used as a biomarker to recommend the initiation of antibiotics in non-ICU AECOPD patients
What is > 0.25 mcg/L ?
Antibiotic regimen for prophylaxis of AECOPD
What is any of the following:
Azithromycin 500 mg PO three times per week x 1yr
Azithromycin 250 mg daily x 1 year
Erythromycin 500 mg BID x 1 year
Moxifloxacin pulsed at 400 mg PO Daily x 5 days every 8 weeks