Management of COPD Exacerbations
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Questions and Answers

What is the basis for determining whether to treat mild COPD exacerbations with oral corticosteroids, antibiotics, or both?

  • Color of sputum
  • Sputum volume
  • Presence of increased dyspnea
  • Presence of purulent sputum (correct)
  • According to the NICE guidelines, what recommendation is made for COPD patients with specific symptoms?

  • Antibiotics only
  • Increase in long-acting bronchodilators
  • Both oral corticosteroids and antibiotics (correct)
  • Oral corticosteroids only
  • What is the purpose of healthcare professionals managing COPD patients during exacerbations?

  • To administer antibiotics immediately
  • To stop all regular medications
  • To determine where the patient is managed (correct)
  • To increase theophylline dosage
  • Why is it recommended not to stop any regular medication, including inhaled corticosteroids, during an acute COPD exacerbation?

    <p>To prevent worsening of the exacerbation</p> Signup and view all the answers

    Which medication is NOT recommended for acute exacerbations of COPD?

    <p>Theophylline</p> Signup and view all the answers

    What serves as a good marker of an infective etiology in COPD exacerbations?

    <p>Rise in sputum volume or color</p> Signup and view all the answers

    What is the role of a short course of oral corticosteroids in patients with COPD exacerbations?

    <p>Improving lung function, gas exchange, reducing recovery time, and improving dyspnea symptoms</p> Signup and view all the answers

    What percentage of COPD exacerbations are typically due to respiratory tract infections?

    <p>50%</p> Signup and view all the answers

    Why is an increase in symptom severity considered more accurate than meeting specific symptom-based criteria in diagnosing COPD exacerbations?

    <p>Symptom severity captures the fluctuating nature of exacerbations better</p> Signup and view all the answers

    What is the main advantage of using non-invasive ventilation (NIV) over invasive mechanical ventilation (IMV) in treating acute COPD exacerbations?

    <p>Less potential side effects</p> Signup and view all the answers

    Why are patients with a history of frequent exacerbations and severe COPD more likely to experience rapid lung function decline and increased mortality?

    <p>They have a higher risk of exacerbations and complications</p> Signup and view all the answers

    What is the significance of managing exacerbations in COPD patients?

    <p>To prevent further exacerbations and reduce impact on health status</p> Signup and view all the answers

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