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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?

To prevent worsening of the exacerbation Signup and view all the answers

Which medication is NOT recommended for acute exacerbations of COPD?

Theophylline Signup and view all the answers

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

Rise in sputum volume or color Signup and view all the answers

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

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

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

50% 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?

Symptom severity captures the fluctuating nature of exacerbations better 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?

Less potential side effects 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?

They have a higher risk of exacerbations and complications Signup and view all the answers

What is the significance of managing exacerbations in COPD patients?

To prevent further exacerbations and reduce impact on health status Signup and view all the answers