RRAPID COPD

Question 1

Symptoms (2)

Answer 1

1. increased cough

2. reduced exercise tolerance

Question 2

Signs (4)

Answer 2

1. use of accessory muscles of breathing
2. tachypnoeac
3. cyanosis
4. wheeze

Question 3

ABCDE

Answer 3

A

1. sit patient up

B

• Venturi mask
• CXray
• Salbutamol 5mg nebuliser
• Ipratropium bromide 500mcg nebuliser with oxygen
• hydrocortisone 200mg IV or prednisolone 40 mg orally
• ABG
• NIV if type 2 resp failure

C

• ECG
• antibiotics
• IV access
• bloods

Question 4

What would be seen on ABG? (3)

Answer 4

decreased PaO2

raised PaCO2

raised bicarb - if chronic disease