1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...
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Abstract
COPD is an illness that primarily affects the respiratory system. It is a treatable and preventable illness that is characterized by persistent and progressive limitation of airflow into the lungs. in its severity, COPD is a condition that requires frequent hospitalizations due to exacerbations that occur once there is a trigger effect or the patient is exposed to an allergen. Within the US, COPD is regarded as the third leading cause of death and there is evidence to show that up to 11 million persons have been diagnosed with COPD (Global initiative for Chronic Obstructive Lung Disease Inc, 2015). ...
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