Chronic obstructive pulmonary disease exacerbation resident survival guide
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.