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| | #178578 |
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A 57-year-old woman is discharged from the hospital after an exacerbation of COPD. She has finished a course of antibiotics, and her current regimen includes salmeterol 2 puffs twice per day, albuterol 2 puffs every 6 hours as needed, and a tapering dose of prednisone. She has had COPD exacerbations 2 to 3 times per year for the last 2 years. She quit smoking 3 years ago, received a dose of pneumococcal vaccine 3 years ago, and had a flu shot this year. Her most recent spirometry showed FEV1 of 1.1 L (45% of predicted) with no significant bronchodilator response. Her oxygen saturation on room air is 90%, and she has no signs of cor pulmonale. Which of the following is the best management option for this patient?
a. Arrange home oxygen therapy
b Perform a PPD skin test
c. Maintain the patient on chronic oral prednisone
d. Add an inhaled corticosteroid
e. Start therapy with oral theophylline
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| * Re:copd |
| #739697 |
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pth what r the indications for home o2 therapy? this pt doesnt fit the indications |
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| * Re:copd |
| #739707 |
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inhaled steroids for long term control...
home O2 therapy if she has cor pulmonale/ raised Hct + PaO2 < 60 |
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| * Re:copd |
| #739769 |
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HomeO2therapy is given to patient with PaO2, less than 55, or saturation less than85%
and goal is to maintain PaO2 at or above 60 mm Hg
yes this is tough Q :((
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