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Exacerbation of Chronic Obstructive Pulmonary Disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention

Advise patients to stop smoking a

Consider offering buproprion. a

Advise patients to receive an influenza vaccination b and a pneumococcal vaccination a  

Consider

  • respiratory rehabilitation a  
  • home oxygen in patients with severe hypoxia (pO2 < 7.5 kPa or < 8.0 kPa with oedema ) a  given continuously a  
  • oral mucolytics a  
There is no clear benefit from immunostimulating agents d  

 

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   N R   Anthonisen
CAT Writers   B   Phillips , CJ   Wotton , CM   Ball