Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Asthma, Asthma-COPD ... Overlap and COPD ... The diagnosis of COPD ... identification of the type ... ACO = asthma-COPD
Chronic Obstructive Pulmonary Disease (COPD)
 β€’ COPD Definition
 β€’ Role of PFTs
 β€’ COPD Classification and
Pulmonary Disease (COPD ... ) β€’ COPD Definition ... Role of PFTs β€’ COPD ... co-morbidities β€’ COPD ... Pulmonary #Disease #COPD
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Reduce risk of COPD ... Initiate if severe COPD ... daily The 2019 COPD ... the treatment of COPD ... #Pharmacology #COPD
Long-Acting Dual Bronchodilators - LAMA/LABA Combo Inhalers 

The FDA approved a new dual bronchodilator (LABA/LAMA) combination
/LABA Combo Inhalers ... bronchodilator (LABA ... Tudorza which is a type ... for treatment of COPD ... recommended regimens for COPD
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment algorithms ... limitation, further evaluation ... muscarinic antagonist; LABA ... Management #Pulmonary #COPD ... #LABA #ICS #Guidelines
Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
Medical Treatment Algorithm ... pulmonary disease (COPD ... squared; CAT, COPD ... #COPD #Treatment ... #Pulmonary #LABA
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... #management #cold ... warm #wet #dry #table
LABA/ICS Combination Inhalers
Long-Acting Beta2 Agonists (LABA) + Inhaled Corticosteroid (ICS) - Commonly used in Asthma 
Advair
LABA/ICS Combination ... the traditional type ... of a patients COPD ... posts for the COPD ... treatment algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... Unremarkable Labs ... metabolic #alkalosis #algorithm