By vgreene, 13 February, 2017 Consider PO steroids:4 prednisone 40 mg/day x5 days; PO steroids and/or abx (in addition to short-acting BD) may suffice for mod exac
By vgreene, 13 February, 2017 If ↑bacterial signs: Consider PO abx3 x5-7 days in pts w/ ↑SOB + ↑sputum + ↑purulence (or ↑purulence + either ↑SOB or ↑sputum)
By vgreene, 13 February, 2017 Plan f/u @12-16wk: Eval sx/coping to ensure stability; ✓FEV1; review tx; ✓inhaler technique; eval prognosis.7 If on long-term O2: ✓ABG + sat. Document physical activity/ADL capacity, CAT or mMRC sx score. If recurrent exac/hospitaliza
By vgreene, 13 February, 2017 Give COPD exac action plan w/ ed component & mgmt plan for comorbidities & f/u
By vgreene, 13 February, 2017 Start maintenance tx w/ long-acting BDs ASAP prior to d/c; ✓pt understanding of maintenance tx (and steroids/abx duration); assess need for O2 tx; ✓inhaler technique
