Round 1
26 - 36% of COPD pts experience this
What is significant anxiety
These are 3 kinds of dyspnea
What are air hunger, increased work of breathing and chest tightness?
These are 3 out of 4 drugs known to be helpful for anxiety in pts with COPD.
What are Buspirone, SSRIs SNRIs and TCAs?
These are 2 out of 6 non-drug treatments for anxiety in pts with COPD.
What are CBT, motivational interviewing, Pulmonary rehab, relaxation techniques, mind-body exercises and music therapy?
True/False - Anxiety levels in pts with COPD are higher than in pts with cancer
What is true?
True/False - Increased CO2 is involved in air hunger dyspnea
What is true? CO2 is the major signal to the brain that there is inadequate ventilation.
This medication for immediate relief of anxiety can be used more safely in pts with COPD and anxiety than BZD.
What is Hydroxyzine?
This non-drug treatment works best for treating anxiety in COPD pts.
What is pulmonary rehab?
These are 2 out of 4 things that are higher in COPD pts with anxiety than those without.
What are higher smoking rates, higher exacerbation rates, higher hospitalization rates, higher mortality, even when FEV1 better
This is the effect that pain has on dyspnea
What is worsening dyspnea?
True/false. In the last 38 years, hundreds of papers have been written on using breathwork to treat anxiety
What is false? Only 15 studies were found between 1984 and 2022.
True/False - Avoidance of exercise worsens dyspnea
True. Avoidance of exercise worsens physical deconditioning which worsens dyspnea
True/false - Based on what we know about the physiologic mechanisms behind dyspnea, we can confidently treat dyspnea
What is false? We are trying to use what we know of the mechanisms of dyspnea to suggest treatments, but none are unambiguously helpful.
True/False. Changing breathing patterns can help pt with anxiety and no lung disease.