COPD

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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.