COPD 4 - The Acute Exacerbation

Question 1

• freq caused by ? or exp to ?
• the ? and ? becomes worse, with prod of ? sputum
• if pt has freq exacerbations they should have ? ?, but they should still be advised to see health prof when they start this

Answer 1

infection
pollutants
SOB
wheeze
purulent
rescue meds

Question 2

hospital admission should be considered if severe ?, ? Sx onset, acute ?, cyanosis, low sats %, or worsening ? ?

Answer 2

breathlessness
rapid
confusion
90
peripheral oedema

Question 3

O/p mgmt

• can incr dose/freq of ?, using a ? if not already
• prescribe ?mg ? for 7-14 days for SOB interfering with activities, ensure ? prophylaxis for pts on >? courses per year
• prescribe oral ? for people with ? ? or clinical signs of ? depending on local guidelines
• safety net then FU pt ? weeks later to optimize their medical trt once ?

Answer 3

SABA
spacer
30
pred
osteoporosis
3
ABx
purulent sputum
pneumonia
6
stable

Question 4

I/p mgmt

• ? should be titrated according to pts ? card
• if unknown pt, titrate sats to ?-?% using a ? system - start on ?% mask at ?L/min
• mgmt as per ? regime, with targeted O2 therapy and regular ?

Answer 4

O2
alert
88-92
venturi
28
4
o/p
monitoring