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4 Cards in this Set

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Suspected in

Pt over 40 yo


-smoker/ex-smoker


-dyspnoea that is progressive, persistent and worse with exercise


-chronic cough


-chronic sputum production


-family Hx of COPD

Exacerbation of pre-existing COPD def

-increased dyspnoea


-increased cough


-increased sputum production

Indications of CPAP

SpO2 <90% on room air or <95% on supplemental O2
Mx for exacerbation of undiagnosed or previously diagnosed COPD

All levels of severity


-Salbutamol 10mg/5mL and Ipratropium bromide nebulised once only


Adequate response


-titrate O2 flow to target SpO2 88-92%


-consider NC


Inadequate response after 10/60


-MICA CPAP


Pt deteriorates


-provide assisted vent with 100% O2 if inadequate Vt or RR