Difference between revisions of "COPD"

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=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 hospitalizations.  
+
* GOLD group based on mMRC, number of exacerbations per year.  
 
=Exacerbation=
 
=Exacerbation=
 
* increase in sputum volume, purulence, and dyspnea
 
* increase in sputum volume, purulence, and dyspnea

Revision as of 16:03, 3 October 2022

Grade and Group

  • GOLD grades 1-4 based on FEV1 % of predicted.
  • GOLD group based on mMRC, number of exacerbations per year.

Exacerbation

  • 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.