Difference between revisions of "COPD"
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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 | ||
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* 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. |
Revision as of 16:00, 3 October 2022
Grade and Group
- GOLD grades 1-4 based on FEV1 % of predicted.
- GOLD group based on mMRC, number of hospitalizations.
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.