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Hospital or community setting for management of exacerbation of COPD

Authoring team

  • factors which favour treatment in hospital
    • not able to cope at home
    • severe breathlessness
    • general condition is poor/ deteriorating
    • level of activity is poor/confined to bed
    • cyanosis is present
    • worsening peripheral oedema
    • impaired level of consciousness
    • patient is already receiving long-term oxygen therapy
    • patient is living alone/not coping
    • acute confusion is present
    • exacerbation has had a rapid rate of onset
    • there is significant comorbidity particularly cardiac disease and insulin-dependent diabetes
    • SaO2 < 90%
    • changes on the chest radiograph are present
    • arterial pH level < 7.35
    • arterial PaO2 < 7 kPa

For further details consult the full guideline (1).

Reference:

  1. National Institute for Health and Clinical Excellence (NICE) 2019. Chronic obstructive pulmonary disease: Management of chronic obstructive pulmonary disease in adults in primary and secondary care.

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