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Line 2:
Line 2: − ==Exacerbation==+ Line 8:
Line 8: − ==Treatment==+
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* GOLD grades 1-4 based on FEV1 % of predicted.
* GOLD grades 1-4 based on FEV1 % of predicted.
* GOLD group based on mMRC, number of hospitalizations.
* GOLD group based on mMRC, number of hospitalizations.
=Exacerbation=
* increase in sputum volume, purulence, and dyspnea
* increase in sputum volume, purulence, and dyspnea
* severe: all 3 present
* severe: all 3 present
* mild: 1 of the above, plus another finding such as URI, fever, cough, wheezing
* mild: 1 of the above, plus another finding such as URI, fever, cough, wheezing
* treatment depends on severity.
* treatment depends on severity.
=Treatment=
* O2 goal 88-92%, because they are dependent on hypoxia for respiratory drive, since they are chronically hypercapnic.
* O2 goal 88-92%, because they are dependent on hypoxia for respiratory drive, since they are chronically hypercapnic.