checkerakp.blogg.se - Copd physiologic dead space

Patients with a history of COPD frequently present to the hospital with dyspnea. Look at the patient! Discuss with nurse and respiratory therapist.

For patients who are sedated, follow ABG/VBG.

If patient is arousable and mentating, follow mental status.

Respiratory rate: 30 suggests high work of breathing that may be unsustainable.

BiPAP: Follow tidal volume & minute ventilation.

Try to choose something the patient wasn’t recently exposed to.

Narrow-spectrum is adequate (typically azithromycin 💉 or doxycycline 💉).

Albuterol/ipratropium nebulized q6hr scheduled.

Rapidly de-escalate to lower doses (e.g.Usually start with IV methylprednisolone (e.g., 125 mg IV).

Intubation only if clinically necessary.Trial sedation if unable to tolerate (e.g.Remember to titrate settings to optimize level of support.Further tests as needed (e.g., PE workup if atypical symptoms).