COPD & ASTHMA

Question 1

Oxygen & Positive
pressure ventilation

Answer 1

Give O2 to all patients coming
to ED in Asthma exacerbation.

Maintain SpO2 > 94%
Preferably w/ nasal cannula

COPD exacerbation will
benefit from NPPV with BiPAP

Question 2

Inhaled SABA:
Salbutamol (Ventolin)

ASTHMA

Answer 2

In Asthma, preferably used in
the first 3 hours of the attack

2.5–5 mg (0.5-1 cc) INH every
20 min

לערבב יחד עם ארוונט והשלם בליין כדי להגיע ל5 מל במשאף

Question 3

Inhaled SABA:
Salbutamol (Ventolin)

COPD

Answer 3

2.5 mg (0.5cc) INH
every 1-4 hours

Question 4

Ipratropium Bromide
(AEROVENT)

אסתמה

Answer 4

0.5 mg (2cc) INH every 20 min
Up to 3 times

Question 5

Ipratropium Bromide
(AEROVENT)

COPD

Answer 5

COPD: 0.5 mg (2 cc) every 4h

Question 6

Systemic Glucocorticoids

Answer 6

• Moderate-severe
  exacerbations
• When suffering from
  exacerbation despite daily
  use of inhaled
  corticosteroids

Question 7

ABx

Answer 7

COPD ONLY

Question 8

Adrenaline (Epinephrine)

Answer 8

2nd line treatment

0.3-0.5 mg (0.01mg/Kg)
every 20 min up to 3 times

• SC in severe exacerbation
• IM in respiratory insufficiency

Question 9

Magnesium sulfate

Answer 9

2nd line treatment

In life-threatening or sever
exacerbation despite intensive
treatment for over 1 hour

Single dose of 2g IV
diluted w/ D5W administered
over 20 min