Date: Examiner: Examinee(s): Learning Objectives: Assess patient as stable vs. unstable and diagnose COPD exacerbation Conduct appropriate work up of COPD exacerbation and COPD staging Discuss adjunctive therapy for a COPD exacerbation, including non-invasive positive pressure ventilation Review the indications for intubation of a COPD patient and basic ventilator therapy slkdjf CRITICAL ACTIONS MS ME NI SUSTAIN IMPROVE Place safety net—IV, O2, monitor & begin ABCs Introduction ID COPD exacerbation and pt as unstable. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) Take thorough history and ID defines an exacerbation of chronic time of onset obstructive pulmonary disease (COPD) as an acute increase in symptoms Give nebs beyond normal day-to-day variation. This generally includes an acute increase in Give abx one or more of the following cardinal symptoms: Give steroids Place pt on BIPAP and/or Cough increases in intubate and choose appropriate frequency and severity Sputum production settings increases in volume Choose appropriate sedation and/or changes character agents and doses Dyspnea increases Tx in ER/Ward then move to ICU Demonstrate effective Causes of an Acute Exacerbation of a COPD Patient communication including closed loop feedback Superimposed infection TOTAL Continued smoking Non-compliance Lack of usual medications or oxygen therapy Spontaneous pneumothorax The single best predictor of exacerbations was a history of exacerbations, regardless of COPD severity. Typical Signs of a Patient with a COPD Exacerbation
Date: Examiner: Examinee(s): Learning Objectives: Assess patient as stable vs. unstable and diagnose COPD exacerbation Conduct appropriate work up of COPD exacerbation and COPD staging Discuss adjunctive therapy for a COPD exacerbation, including non-invasive positive pressure ventilation Review the indications for intubation of a COPD patient and basic ventilator therapy CRITICAL ACTIONS MS ME NI SUSTAIN IMPROVE Place safety net—IV, O2, monitor & begin ABCs ID COPD exacerbation and pt as unstable. Take thorough history and ID time of onset Give nebs Give abx Give steroids Place pt on BIPAP and/or intubate and choose appropriate settings Choose appropriate sedation agents and doses Tx in ER/Ward then move to ICU Demonstrate effective communication including closed loop feedback TOTAL slkdjf Introduction The Global Initiative for Chronic Obstructive Lung Disease (GOLD) defines an exacerbation of chronic obstructive pulmonary disease (COPD) as an acute increase in symptoms beyond normal day-to-day variation. This generally includes an acute increase in one or more of the following cardinal symptoms: Cough increases in frequency and severity Sputum production increases in volume and/or changes character Dyspnea increases Causes of an Acute Exacerbation of a COPD Patient Superimposed infection Continued smoking Non-compliance Lack of usual medications or oxygen therapy Spontaneous pneumothorax The single best predictor of exacerbations was a history of exacerbations, regardless of COPD severity. Typical Signs of a Patient with a COPD Exacerbation
FAST-Acute-Exacerbation-of-COPD.docx