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COPD action plan
Action plan for COPD flare-ups:
If change in sputum color, start antibiotic:
If first antiobic has been taken in the last 3 months, start this antibiotic:
If worsening shortness of breath:
- increase usage of inhaler:
If shortness of breath not better with increased inhaler, start oral steroid:
1st-line antibiotic for uncomplicated/simple exacerbation
2nd-line for complicated exacerbation or if no improvement with 1st-line antibiotic
Uncomplicated exacerbation: < 65 years old, FEV1 > 50%, < 4 exacerbations/year, no significant comorbid disease
Complicated exacerbation: O2-dependant, cardiac disease, pulmonary cancer, long-term use of corticosteroid, antibiotic in last month
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