{"id":714,"date":"2023-10-26T11:29:52","date_gmt":"2023-10-26T15:29:52","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/chapter\/copd-2\/"},"modified":"2023-11-11T22:25:35","modified_gmt":"2023-11-12T03:25:35","slug":"copd-2","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/chapter\/copd-2\/","title":{"raw":"COPD","rendered":"COPD"},"content":{"raw":"<div class=\"textbox textbox--exercises\">\r\n<div class=\"textbox__content\">\r\n\r\nIn this chapter, you will find Canadian guidelines for the treatment of [pb_glossary id=\"64\"]COPD[\/pb_glossary] exacerbations and long term control. We have also provided links to scoring tools to assess severity of COPD at baseline.\r\n\r\n<\/div>\r\n<\/div>\r\n<h2>Student Resources<\/h2>\r\n<a href=\"\/wp-content\/uploads\/sites\/2080\/2023\/10\/COPD-One-Pager.pdf\">COPD One Pager<\/a>\r\n<h1>Tools<\/h1>\r\n<details><summary><span style=\"color: #000000\"><em>COPD Assessment Test (CAT)\r\n<\/em><\/span><\/summary>\r\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 75px\" border=\"0\">\r\n<tbody>\r\n<tr>\r\n<td><strong>Purpose<\/strong><\/td>\r\n<td>Determine impact of COPD on one\u2019s daily life.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Type of Resource<\/strong><\/td>\r\n<td>Scoring tool<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Included<\/strong><\/td>\r\n<td>Tool consists of a variety of factors which may impact one's daily life.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Student Bottom Line<\/strong><\/td>\r\n<td>When patients are initially diagnosed with COPD, use the CAT score to determine the impact the condition is having on one\u2019s life. The score can then be used to determine initial drug therapy (also recommend calculating mMRC).<\/td>\r\n<\/tr>\r\n<tr class=\"shaded\" style=\"height: 15px\">\r\n<td style=\"text-align: center;height: 15px\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/10161\/copd-assessment-test-cat\">VIEW RESOURCE<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/details><details><summary><span style=\"color: #000000\"><em>Modified Medical Research Council (mMRC) Dyspnea Scale<\/em><\/span><\/summary>\r\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 148px\" border=\"0\">\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 19.5804%\"><strong>Purpose<\/strong><\/td>\r\n<td style=\"width: 80.3197%\">Determine patients' baseline [pb_glossary id=\"515\"]dyspnea[\/pb_glossary] from daily activities.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 19.5804%\"><strong>Type of Resource<\/strong><\/td>\r\n<td style=\"width: 80.3197%\">Scoring tool<\/td>\r\n<\/tr>\r\n<tr style=\"height: 88px\">\r\n<td style=\"width: 19.5804%\"><strong>Included<\/strong><\/td>\r\n<td style=\"width: 80.3197%\">\r\n<ol>\r\n \t<li>Grade 0: dyspnea with exercise<\/li>\r\n \t<li>Grade 1: dyspnea walking up hill<\/li>\r\n \t<li>Grade 2: walk slower than others<\/li>\r\n \t<li>Grade 3: stops every 100m<\/li>\r\n \t<li>Grade 4: dyspnea with simple movement<\/li>\r\n<\/ol>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 19.5804%\"><strong>Student Bottom Line<\/strong><\/td>\r\n<td style=\"width: 80.3197%\">When patients are initially diagnosed with COPD, use the mMRC score to determine severity of COPD at baseline.<\/td>\r\n<\/tr>\r\n<tr class=\"shaded\" style=\"height: 15px\">\r\n<td style=\"text-align: center;height: 15px;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/4006\/mmrc-modified-medical-research-council-dyspnea-scale\">VIEW RESOURCE<\/a><strong>\r\n<\/strong><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/details>\r\n<h1>Guidelines<\/h1>\r\n<details><summary><span style=\"color: #000000\"><em>Gold Guidelines<\/em><\/span><\/summary>\r\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 60px\" border=\"0\">\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 19.4805%\"><strong>Purpose<\/strong><\/td>\r\n<td style=\"width: 80.4196%\">Recommended treatment options for COPD patients (in both hospital and community settings).<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 19.4805%\"><strong>Type of Resource<\/strong><\/td>\r\n<td style=\"width: 80.4196%\">Guidelines<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 19.4805%\"><strong>Included<\/strong><\/td>\r\n<td style=\"width: 80.4196%\">\r\n<ol>\r\n \t<li>Chapter 1: COPD overview<\/li>\r\n \t<li>Chapter 2: Diagnosis<\/li>\r\n \t<li>Chapter 3: Evidence for the drug therapy<\/li>\r\n \t<li>Chapter 4: Managing stable COPD<\/li>\r\n \t<li>Chapter 5: Managing COPD exacerbations<\/li>\r\n \t<li>Chapter 6: COPD and comorbidities<\/li>\r\n \t<li>Chapter 7: COVID-19 and COPD<\/li>\r\n<\/ol>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 19.4805%\"><strong>Student Bottom Line<\/strong><\/td>\r\n<td style=\"width: 80.4196%\">Use this resource to determine the best treatment option for patients diagnosed with COPD.<\/td>\r\n<\/tr>\r\n<tr class=\"shaded\">\r\n<td style=\"text-align: center;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/goldcopd.org\/2023-gold-report-2\/\">VIEW RESOURCE<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/details>","rendered":"<div class=\"textbox textbox--exercises\">\n<div class=\"textbox__content\">\n<p>In this chapter, you will find Canadian guidelines for the treatment of COPD exacerbations and long term control. We have also provided links to scoring tools to assess severity of COPD at baseline.<\/p>\n<\/div>\n<\/div>\n<h2>Student Resources<\/h2>\n<p><a href=\"\/wp-content\/uploads\/sites\/2080\/2023\/10\/COPD-One-Pager.pdf\">COPD One Pager<\/a><\/p>\n<h1>Tools<\/h1>\n<details>\n<summary><span style=\"color: #000000\"><em>COPD Assessment Test (CAT)<br \/>\n<\/em><\/span><\/summary>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 75px\">\n<tbody>\n<tr>\n<td><strong>Purpose<\/strong><\/td>\n<td>Determine impact of COPD on one\u2019s daily life.<\/td>\n<\/tr>\n<tr>\n<td><strong>Type of Resource<\/strong><\/td>\n<td>Scoring tool<\/td>\n<\/tr>\n<tr>\n<td><strong>Included<\/strong><\/td>\n<td>Tool consists of a variety of factors which may impact one&#8217;s daily life.<\/td>\n<\/tr>\n<tr>\n<td><strong>Student Bottom Line<\/strong><\/td>\n<td>When patients are initially diagnosed with COPD, use the CAT score to determine the impact the condition is having on one\u2019s life. The score can then be used to determine initial drug therapy (also recommend calculating mMRC).<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 15px\">\n<td style=\"text-align: center;height: 15px\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/10161\/copd-assessment-test-cat\">VIEW RESOURCE<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/details>\n<details>\n<summary><span style=\"color: #000000\"><em>Modified Medical Research Council (mMRC) Dyspnea Scale<\/em><\/span><\/summary>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 148px\">\n<tbody>\n<tr>\n<td style=\"width: 19.5804%\"><strong>Purpose<\/strong><\/td>\n<td style=\"width: 80.3197%\">Determine patients&#8217; baseline <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_714_515\">dyspnea<\/a> from daily activities.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.5804%\"><strong>Type of Resource<\/strong><\/td>\n<td style=\"width: 80.3197%\">Scoring tool<\/td>\n<\/tr>\n<tr style=\"height: 88px\">\n<td style=\"width: 19.5804%\"><strong>Included<\/strong><\/td>\n<td style=\"width: 80.3197%\">\n<ol>\n<li>Grade 0: dyspnea with exercise<\/li>\n<li>Grade 1: dyspnea walking up hill<\/li>\n<li>Grade 2: walk slower than others<\/li>\n<li>Grade 3: stops every 100m<\/li>\n<li>Grade 4: dyspnea with simple movement<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.5804%\"><strong>Student Bottom Line<\/strong><\/td>\n<td style=\"width: 80.3197%\">When patients are initially diagnosed with COPD, use the mMRC score to determine severity of COPD at baseline.<\/td>\n<\/tr>\n<tr class=\"shaded\" style=\"height: 15px\">\n<td style=\"text-align: center;height: 15px;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/www.mdcalc.com\/calc\/4006\/mmrc-modified-medical-research-council-dyspnea-scale\">VIEW RESOURCE<\/a><strong><br \/>\n<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/details>\n<h1>Guidelines<\/h1>\n<details>\n<summary><span style=\"color: #000000\"><em>Gold Guidelines<\/em><\/span><\/summary>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 60px\">\n<tbody>\n<tr>\n<td style=\"width: 19.4805%\"><strong>Purpose<\/strong><\/td>\n<td style=\"width: 80.4196%\">Recommended treatment options for COPD patients (in both hospital and community settings).<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.4805%\"><strong>Type of Resource<\/strong><\/td>\n<td style=\"width: 80.4196%\">Guidelines<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.4805%\"><strong>Included<\/strong><\/td>\n<td style=\"width: 80.4196%\">\n<ol>\n<li>Chapter 1: COPD overview<\/li>\n<li>Chapter 2: Diagnosis<\/li>\n<li>Chapter 3: Evidence for the drug therapy<\/li>\n<li>Chapter 4: Managing stable COPD<\/li>\n<li>Chapter 5: Managing COPD exacerbations<\/li>\n<li>Chapter 6: COPD and comorbidities<\/li>\n<li>Chapter 7: COVID-19 and COPD<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.4805%\"><strong>Student Bottom Line<\/strong><\/td>\n<td style=\"width: 80.4196%\">Use this resource to determine the best treatment option for patients diagnosed with COPD.<\/td>\n<\/tr>\n<tr class=\"shaded\">\n<td style=\"text-align: center;width: 99.9001%\" colspan=\"2\"><a href=\"https:\/\/goldcopd.org\/2023-gold-report-2\/\">VIEW RESOURCE<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/details>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_714_64\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_714_64\"><div tabindex=\"-1\"><\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_714_515\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_714_515\"><div tabindex=\"-1\"><p>shortness of breath<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":1076,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by"},"chapter-type":[],"contributor":[68],"license":[53],"class_list":["post-714","chapter","type-chapter","status-publish","hentry","contributor-oliviabailey-6mh4r9hycn","license-cc-by"],"part":708,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/714","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/users\/1076"}],"version-history":[{"count":5,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/714\/revisions"}],"predecessor-version":[{"id":768,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/714\/revisions\/768"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/parts\/708"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapters\/714\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/media?parent=714"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/pressbooks\/v2\/chapter-type?post=714"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/contributor?post=714"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/rxpidresources\/wp-json\/wp\/v2\/license?post=714"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}