By vgreene, 13 February, 2017 No resp failure | RR 20-30/min, no accessory muscle use, no Δ MS; hypoxemia improves w/ O2 (eg, 28%-35% FiO2 Venturi mask) w/o ↑PaCO2
By vgreene, 13 February, 2017 Nonlife-threatening acute resp failure | RR >30, accessory muscle use, no Δ MS, hypoxemia improves w/ O2 (eg, FiO2 35%-40% Venturi mask), ↑PaCO2 vs baseline (or 50-60 mmHg)
By vgreene, 13 February, 2017 Start maintenance tx w/ long-acting BDs1 ASAP prior to d/c; determine maintenance tx according to GOLD COPD groups
By vgreene, 13 February, 2017 GOLD. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. 2024 Report.
By vgreene, 13 February, 2017 Once stable: Consider long-acting BD3 ASAP, smoking cessation, f/u, COPD exac action plan w/ ed component
By vgreene, 13 February, 2017 Hospitalization assessment. Potential indications: acute resp failure, severe sx (suddenly worse dyspnea @ rest, high RR, decreased sat, Δ MS), new signs (eg, cyanosis, peripheral edema), serious comorbidities (eg, HF, new arrhythmias, etc), failure
By vgreene, 13 February, 2017 Resp unit/MICU admit indications: severe SOB not responding to initial emergency tx; Δ MS; persistent/worsening PO2 (
