3rd leading cause of death in US
A disease characterized by airflow obstruction due to several processes:
Emphysema: Irreversible alveolar destruction with loss of airway elastic recoi...
Dyspnea on exertion
Altered mental status
Decreased air movement
100% via nonrebreather
Do not withhold for fear of CO2 retention.
Initiate nebulized bronchodilator therapy.
CO2 narcosis with oxygen saturation <90%
Clinical tiring in the ED
Concomitant cardiac or pulmonary disease
Noninvasive positive pressure ventilation is the therapy of choice when optimal medical therapy is insufficient
Nebulized steroids may be used more for acute exacerbation of COPD in...
Agusti A, Barnes PJ. Update in chronic obstructive pulmonary disease 2011. Am J Respir Crit Care Med. 2012;185:1171–1176.
Celli BR. Update on management of COPD. Chest. ...
491.9 Unspecified chronic bronchitis
492.8 Other emphysema
496 Chronic airway obstruction, not elsewhere classified
493.20 Chronic obstructive asthma, unspecified
491.21 Obstructive chronic bron...
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