Chronic obstructive pulmonary disease exacerbation resident survival guide: Difference between revisions
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Revision as of 19:57, 25 November 2013
Overview
COPD exacerbation commonly caused by infections, should be recognized when anyone or more of the following appears acutly in chronic COPD patient[1]:
- Worsening cough
- Increasing dyspnea
- Increasing in sputum production more than the baseline for chronic COPD Pts[1]:.
Differential Diagnosis
- Asthma
- CHF
- PE
- ACS
- Pneumothorax
- Pneumonia
- Lobar atelectasis
Management
| COPD Exacerbation↑cough↑dyspnea↑sputum or ↑wheezing ,fever or chest tightness | |||||||||||||||||||
| Admission | |||||||||||||||||||
| Assessment :1-O2 sat +ABG 2-CXR 3-EKG 4-CBC Management :1-Inhaled bronchodilators 2-Systemic Corticosteroids 3-Empirical antibiotics 4-O2(Target Sat >90%) | |||||||||||||||||||
| Resp acidosis? PH≤35?,PaCo2≥45 Severe dyspnea signs?(Accessory muscles use ,paradoxical motion of abdomen ,retraction of intercostal space | |||||||||||||||||||
| Yes | No | ||||||||||||||||||
References
- ↑ 1.0 1.1 Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P; et al. (2007). "Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary". Am J Respir Crit Care Med. 176 (6): 532–55. doi:10.1164/rccm.200703-456SO. PMID 17507545.