Difference between revisions of "COPD"
Jump to navigation
Jump to search
Tags: Mobile web edit Mobile edit |
|||
| (2 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
=Grade and Group= | =Grade and Group= | ||
* 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 | + | * GOLD group based on mMRC, number of exacerbations per year. |
| − | + | =Exacerbation= | |
| + | * O2 administration improves oxygenation to areas of lung with '''low''' V/Q ratio | ||
* increase in sputum volume, purulence, and dyspnea | * increase in sputum volume, purulence, and dyspnea | ||
* severe: all 3 present | * severe: all 3 present | ||
| Line 8: | Line 9: | ||
* 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. | ||
Latest revision as of 17:34, 11 January 2023
Grade and Group
- GOLD grades 1-4 based on FEV1 % of predicted.
- GOLD group based on mMRC, number of exacerbations per year.
Exacerbation
- O2 administration improves oxygenation to areas of lung with low V/Q ratio
- increase in sputum volume, purulence, and dyspnea
- severe: all 3 present
- moderate: 2/3
- mild: 1 of the above, plus another finding such as URI, fever, cough, wheezing
- treatment depends on severity.
Treatment
- O2 goal 88-92%, because they are dependent on hypoxia for respiratory drive, since they are chronically hypercapnic.