CLINICAL MANAGEMENT GUIDELINE

Acute exacerbation of chronic obstructive airways disease with asthma

ICD10: Chronic obstructive pulmonary disease w (acute) exacerbation [J44.1]

Treatment: Bronchospasm treatment in Acute exacerbation

It defined as an acute decline in respiratory functions manifested as severely worsening dyspnoea, cough and sputum production from the symptoms baseline. It triggered by an infection, airborne pollutants, and/or other factors (smoking).

Please follow Explicit criteria for hospital admission in exacerbations of chronic obstructive pulmonary disease.


Acute COPD exacerbation presented by bronchoconstriction which leads to worsening of the expiratory airflow which leads to increased ventilation/perfusion mismatch and hyperinflation. which then leads to further fatigue of the respiratory muscles. 1

Treatments

Level 1 / 2
pharmacological
Albuterol
ROUTE
nebulized
DOSE
5.000 mg
FREQUENCY
q 20min X 6-PRN
pharmacological
Oxygen
ROUTE
nasal cannulae/non-rebreather mask
DOSE
3.000 L/Min
FREQUENCY
STAT
pharmacological
Ipratropium
ROUTE
nebulized
DOSE
0.500 mg
FREQUENCY
q 20min X 6-PRN
physiotherapy
Maintaining clear airway

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