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Diagnosis and Management of Acute Exacerbations of Chronic Obstructive Pulmonary Disease

October 2017

Inside This Issue:

As more and more patients present to the ED with symptoms that suggest an acute exacerbation of COPD –worsening dyspnea, cough and sputum production  – emergency clinicians can improve patient comfort and possibly mitigate morbidity and mortality with the right testing and treatment interventions:

  • COPD is a clinical diagnosis, but some tests can exclude comorbid conditions
  • When to give antibiotics and when to culture
  • The SpO2 range to aim for
  • ECG findings typical of COPD
  • The role of ultrasound
  • Oxygen, bronchodilators, corticosteroids, and antibiotics: which ones, and how much?
  • Reviewing noninvasive ventilation and intubation options

Keywords: chronic obstructive pulmonary disease; COPD; acute exacerbation, AECOPD, lower respiratory disease, emphysema, chronic bronchitis, dyspnea, asthma, sputum, FEV1, FVC, GOLD, mMRC, smoking, hypoxia, hypercapnia, electrocardiogram, biomarkers, bacterial infection, spirometry, oxygen, brochodilators, ipratropium bromide, albuterol, corticosteroids, antibiotics noninvasive positive-pressure ventilation, NIPPV, CPAP, BiPAP, intubation, end-tidal capnography, ETCO2

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Last Modified: 10/19/2017
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