COPD

Question 1

Definition of COPD

Answer 1

Chronic lung condition with breathing difficulties characterised by v q mismatch

Question 2

Emphysema

What are the characteristics (5)

Answer 2

Pink puffers

Cough

Sob

Usually using men

barrel chest

Question 3

Bronchitis

Condition is usually seen …

Answer 3

Condition usually seen with infection, increased production of sputum and mucous

Pink puffers

Chronic inflammation

Question 4

COPD NEB Tx

O2 tx and Range

Repeat?

Answer 4

5mg salbutamol
500 micrograms ipratropium

8 litres max 6 min of o2.
88-92%

all drugs not to be Repeated for 20 mins

Question 5

COPD mdi tx

Answer 5

1200 salbutamol 1:4 breaths
168 of ipratropium
1:4 breaths

Repeat 20 mins

Question 6

When to request clinical support

Answer 6

88-92% cannot be achieved, or severe exacerbation of COPD

ICP for CPAP

Question 7

COPD Tx

6

Answer 7

5mg/500mcg Neb

8Lt O2 - MAX 6 mins O2 - Can use air if available

OR

1200mcg/168mcg MDI

Consider 50mg Prednisolone oral

ICP if no improvement or severe.

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