Royal Cornwall Hospital

Truro

Cornwall TR1 3LJ

For Life-Threatening Emergencies Call 999

© 2023 by Acute GP Service, CPFT. 

Acute exacerbation COPD

 

CFPT Adult Antimicrobial Guide

RCHT Adult Antimicrobial Guide

NICE COPD quick reference guide

 

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

  •       Increased breathlessness

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 Early Intervention Service can arrange emergency packages of care or equipment to enable management at home.

 

Monitor Recovery

 

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.