COPD

Question 1

Treatment for COPD:

Administer oxygen to achieve a Pao2 of ________mm Hg or an Sao2 between__________%

Answer 1

60 to 70 mm Hg

88% and 92%

Question 2

ED Management of COPD Exacerbations

Answer 2

Question 3

Indications and Relative Contraindications for Noninvasive Ventilation

Answer 3

Question 4

Indications for Intubation With Mechanical Ventilation

Answer 4

Question 5

Indications for Hospital Admission

Answer 5

Question 6

higher risk for relapse within 2 weeks after an ED visit

Answer 6

1. five or more ED or clinic visits in the past year,
2. amount of activity limitation (based on a 4-point scale), 3. initial RR (for each 5 breaths/min over 16 breaths/min),
3. use of oral corticosteroids before arrival in the ED

Question 7

discharging from the ED or observation unit, arrange the following:

Answer 7

(1) a supply of home oxygen, if needed

(2) adequate and appropriate
bronchodilator treatment (usually a metered-dose inhaler with a spacer and teaching

(3) short course of oral corticosteroids2-6;

(4) a follow-up appointment with the primary care physician or pulmonologist, preferably within a week