Asthma and COPD Evidence-Based Disposition in the ED
What should you consider in determining disposition for the patient with asthma or COPD exacerbation?
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copd
Chronic Obstructive Pulmonary Disease Exacerbation: When it isn’t just your classic exacerbation…
COPD exacerbations can be triggered by a variety of conditions. What are some sneaky triggers?
EM@3AM: Acute COPD Exacerbation
A 58-year-old male presents with severe shortness of breath, productive cough, and decreased ability to ambulate at home. He has COPD and is on oxygen at home. Several days ago he noted worsening congestion, myalgias, and cough. He is now severely short of breath and unable to complete his activities of daily living.
He is hypoxemic and tachypneic. You hear decreased air movement bilaterally and distal wheezes. What’s the next step in your evaluation and treatment?
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COPD Mimics: What are we missing?
What conditions can present with wheezing, shortness of breath, tachypnea, and cough in the patient with COPD? Is it just another COPD exacerbation? This post evaluates mimics of COPD.
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R.E.B.E.L. EM – Is Too Much Supplemental O2 Harmful in COPD Exacerbations?
Does hyperoxia suppress a COPD patient’s respiratory drive? Does it cause V/Q mismatch? Does it change the chemistry of the patient’s blood through the Haldane effect? It’s enough to make you want to give up and page respiratory therapy. Well lucky for you we sifted through the primary literature to bring you the myths and facts, and the short answer is… it’s complicated.
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