“Where There’s Smoke…There’s Obstruction” Stephen G. Basheda, DO POMA District VIII 32nd Annual Educational Winter Seminar January 31, 2019-February 3, 2019 1 #POMAD8 #ChoosePOMA Where There’s Smoke… There’s Obstruction Stephen G. Basheda, D.O., F.C.C.P. #POMAD8 #ChoosePOMA Disclosures • Dr. Basheda is an independent contractor for AstraZeneca Pharmaceuticals, LP and GlaxoSmithKline and on the speaker’s bureau for Boehringer-Ingelheim and AstraZeneca Pharmaceuticals, LP. #POMAD8 #ChoosePOMA Outline •Asthma update •COPD update •Smoking alternatives 1 2 3
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Disclosures - MemberClicks · POMA District VIII 32nd Annual Educational Winter Seminar January 31, 2019-February 3, 2019 8 #POMAD8 #ChoosePOMA COPD Management –Alphabet Soup LABA
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“Where There’s Smoke…There’s Obstruction”Stephen G. Basheda, DO
POMA District VIII 32nd Annual Educational Winter SeminarJanuary 31, 2019-February 3, 2019 1
#POMAD8#ChoosePOMA
Where There’s Smoke…There’s Obstruction
Stephen G. Basheda, D.O., F.C.C.P.
#POMAD8#ChoosePOMA
Disclosures• Dr. Basheda is an independent contractor for AstraZeneca
Pharmaceuticals, LP and GlaxoSmithKline and on the speaker’s bureau for Boehringer-Ingelheim and AstraZeneca Pharmaceuticals, LP.
#POMAD8#ChoosePOMA
Outline•Asthma update
•COPD update
•Smoking alternatives
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“Where There’s Smoke…There’s Obstruction”Stephen G. Basheda, DO
POMA District VIII 32nd Annual Educational Winter SeminarJanuary 31, 2019-February 3, 2019 2
#POMAD8#ChoosePOMA
Airway Obstruction
#POMAD8#ChoosePOMA
#POMAD8#ChoosePOMA
Airway Obstruction - Spirometry
• FEV1-Forced Expiratory Volume at 1 second
• FVC-Forced Vital Capacity
• FEV1/FVC < 0.7
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“Where There’s Smoke…There’s Obstruction”Stephen G. Basheda, DO
POMA District VIII 32nd Annual Educational Winter SeminarJanuary 31, 2019-February 3, 2019 3
#POMAD8#ChoosePOMA
#POMAD8#ChoosePOMA
#POMAD8#ChoosePOMA
#POMAD8#ChoosePOMA
Asthma-Definition
•Intermittent•Persistent
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“Where There’s Smoke…There’s Obstruction”Stephen G. Basheda, DO
POMA District VIII 32nd Annual Educational Winter SeminarJanuary 31, 2019-February 3, 2019 4
#POMAD8#ChoosePOMA
Cough Asthma
•Triggers: talk/laughter, cold air, exercise, deep breath
•Spirometry-Normal
•Chest exam-No wheezing
#POMAD8#ChoosePOMA
Cough Asthma-Treatment
•Recognition
•Asthma medications (bronchodilators/steroids)
#POMAD8#ChoosePOMA
Asthma-Treatment Options
•Anti-inflammatory therapy-inhaled steroids (ICS)
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“Where There’s Smoke…There’s Obstruction”Stephen G. Basheda, DO
POMA District VIII 32nd Annual Educational Winter SeminarJanuary 31, 2019-February 3, 2019 5