Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Pulmonary Disease


Answer 4
  1. Add an inhaled corticosteroid. Regular treatment with inhaled corticosteroids has been shown to reduce the frequency of exacerbations and improve health status in symptomatic COPD patients with an FEV1 < 50% predicted and repeated exacerbations (eg, 3 or more in the last 3 years). Long-term treatment with oral corticosteroids is not recommended in COPD.2 Theophylline is effective in COPD but is not a preferred drug due to its potential toxicity. There is no evidence that theophylline reduces the frequency of exacerbation. Long-term oxygen therapy is indicated for patients with very severe COPD who have a Pao2 at or below 55 mm Hg or Sao2 at or below 88%, or, if there is evidence of cor pulmonale or polycythemia (hematocrit > 55%), Pao2 between 55 and 60 mm Hg or Sao2 of 89%.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj