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COPD
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Revision as of 16:00, 3 October 2022
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16:00, 3 October 2022
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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.
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=Exacerbation
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=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.
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=Treatment
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=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.
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