3/5
In order to have a moderate exacerbation, how many categories must be met?
acidosis
What must a patient have in order to be considered a severe exacerbation?
oral corticosteroids, antibiotics when signs of infection, noninvasive mechanical ventilation
What treatments are present for severe exacerbations? (3)
fluid balance, SQ heparin for thromboembolism prophylaxis, treat comorbidities
What should be monitored at all times during severe exacerbations? (3)
acute respiratory failure, cyanosis/peripheral edema, failure to respond to initial treatment, presence of serious comorbidities, insufficient home support
When should an exacerbation result in hospitalization? (5)
LABA or LAMA; LAMA + LABA
What are the follow-up treatments for Dyspnea? (2)
if blood eos >=300; can be given to patient unresponsive to LABA + LAMA w blood eosinophils >=100
When do we give a patient a LABA + LAMA + ICS?
blood eos < 100
When do we give a patient Roflumilast?
azithromycin
What do we give them if the exacerbation is because of pneumonia, and their
blood eosinophils are not within range for an ICS?
relieve symptoms, improve exercise tolerance, improve health status
What steps are taken to reduce symptoms? (3)
prevent disease progression, prevent/treat exacerbations, reduce mortality
What steps are taken to reduce risk? (3)
PaO2=55-60 mmHg; SaO2 < 88%
Arterial hypoxemia thresholds?