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Core IM | Internal Medicine Podcast

#107 COPD: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 22 June 2022

⏱️ 41 minutes

🧾️ Download transcript

Summary

What are the 3 different types of inhaler devices and what should you educate patients about each? When do you stop the inhaled steroid in COPD? And when do you think of increasing the dose? What is important to communicate at the time of diagnosis, and during goals of care discussions? Show notes, Transcript and References:https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/ (https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/)Sponsor: Use the code “COREIM-AMBOSS (https://go.amboss.com/CoreIM-E3)” to get a free month of access on https://go.amboss.com/CoreIM-E3 (https://go.amboss.com/CoreIM-E3)Timestamps:* Pearl 1: 3:20* Pearl 2: 8:20* Pearl 3: 15:47* Pearl 4: 26:55* Pearl 5: 34:10Tags: IMCore, CoreIM, Pulmonary, medication management, spirometry Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

Hi everyone. Before we get into today's episode, we are thrilled to have

0:05.8

Ambos as our sponsor for the episode. Let's hear from James, an internal

0:10.1

medicine resident in the Bay Area and how he uses the

0:12.8

AMAS. We had a patient with hyponatremia and you know we were monitoring

0:17.3

their sodium with free water restriction and it looked like they were

0:20.0

over-correcting like oh what am I supposed to do at this point in time what's the second

0:24.4

line what's the third line what are possible options for management the fact that as an

0:28.9

intern emboss provided you with the amount of information at a very accessible quick and

0:35.0

digestible format. I think that was something that was really helpful for the

0:38.6

workflow. And there's many other tools that might fulfill that, but I felt like it worked well for me.

0:45.6

I think the biggest thing was the search bar function, and then that very stable formats of how they broke down that knowledge. I think that's a really big

0:55.2

differentiating feature about Ambos. And Koryam listeners can get a one month free trial

1:01.0

using the code Korym-Ambos. We'll link all that in the show

1:04.8

notes for you. Also this episode will count for a CME credit with the American

1:08.8

College of Physicians. Click on the link in the show notes, answer three questions

1:12.4

and get CME credit.

1:14.0

And with that, cue the intro.

1:17.0

People often tell me, oh, I didn't want to use that rescue inhaler

1:22.0

because that's for emergencies only.

1:24.2

So I tell people it's called a rescue inhaler because it works right away, not because you have to be dying to take it.

1:30.8

And you can take it three, four times a day if you want.

1:34.0

That's Dr. Kaisakanin and a pulmonologist at Mass General Hospital and today we are

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