A Cool MNEMONIC for Rx/ Mgt in COPD

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digitaldoc2002

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As we all know, goals are different in Chronic versus acute exacerbation of COPD...the Mnemonic "COPD" helps us in both...

Chronic COPD:

C - Cigarette Smokin Cessation, Corticosteroids IF PFTs are reversible
O - O2 if Hypoxic
P - PFTs + Pneumococcal vaccine, (flu vaccine if not given for that year) + Pulmonary Rehabilitation
D - Dilators (Bronchodilators : B2 agonists, anticholinergics / theophylline)

Acute COPD Exacerbation: "A COPD"

A - Antibiotics if indicated by fever and CXR

C - Corticosteroids to reduce hospital stay
O - O2
P - Phlegm control (Mucolytics)
D - Dilators (Like above)


Useful for both Step 2 and Step 3 😀
 
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