COPD

Question 1

What are the causes of COPD exacerbation?

Answer 1

70% are viral and bacterial and 30 enviromental

Question 2

True or False: Adequate oxygenation (88-92%) must be maintained even if it leads to acute Hypercapnia?

Answer 2

True

Question 3

Neb protocol for COPD?

Answer 3

Salbutamol: 5mg
Ipratropium: 500mcg
Repeat ever 20 mins to max of 3 doses
Limit O2 exposure to 6 mins

Question 4

If bronchodilators are ineffective and SpO2 cannot be maintained 88-92% in COPD what do we do?

Answer 4

CPAP at 5cm H2O
-consider potential of a pneumothorax
Salbutamol 15mg and Ipratropium 500mcg via inline neb (with CPAP)
IV Hydrocortisone 250mg