Acute exacerbation COPD
Initial Community Management
Increase frequency of bronchodilator use and consider giving via nebulizer.
(The Acute Care at Home Team can provide short-term nebulizers).
Give oral antibiotics if any 2 out of:
Increased sputum volume
Increased sputum purulence
Consider treatment with antibiotics as per antimicrobial guidelines.
Prednisolone daily for 7-14 days (there is no advantage in prolonging therapy).
Sputum culture is not normally recommended.
Use pulse oximetry if the exacerbation is severe.
Consider Acute Care at Home management
Contact on 01872 221415 or via Bodmin switch 01208 251300
The IToCHs can arrange emergency packages of care, monitoring (via Virtual Ward) or equipment to enable management at home.
Arrange appropriate review.
Advise smoking cessation.
Discuss referral to a pulmonary rehabilitation programme.
Establish optimal ongoing therapy.
Arrange multidisciplinary assessment if necessary.
Give clear instructions about correct use of medication including oxygen.