Review Note

Last Update: 06/04/2024 03:08 PM

Current Deck: SLS Cards::7. Dyspnea/ cough - respiratory

New Card (Unpublished)

Currently Published Content


Front
Back

No published tags.

Pending Suggestions


Field Change Suggestions:
How do you acutely manage severe but non-life threatening COPD exacerbations?
  • Assess severity of symptoms, blood gases, pulse oximetry, and CXR
  • Supplemental O2 and monitor (as above)
  • Bronchodilators
    • Increase doses or frequency of short-acting bronchodilators
    • Combine beta2-agonists and anticholinergics
    • Consider long-acting bronchodilators once stable
    • Use spacers or air-driven nebulizers when appropriate because inhaler misuse is common
  • Consider oral corticosteroids
    • Systemic should not be used > 5 days
  • Consider oral abx
  • Non-invasive mechanical ventilation
  • Monitor fluid balance, consider thromboembolism prophylaxis, and treat associated conditions