Chronic Obstruction Pulmonary Disease

Question 1

COPD - Treatment Priorities

Answer 1

• Salbutamol nebulised:
  
  • AD: Salbutamol 10mg neb, once only
• Ipratroprium Bromide (Atrovent) nebulised:
  
  • AD: Atrovent 500mcg neb, once only
• if inadequate response @10/60, request MICA or consult for CPAP
• provide assisted ventilations (moderately high inspiratory pressures, allowing for prolonged expiratory phase):
  
  • AD: 5-8vents/min @ Vt 6-7mls/kg