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COPD exacerbation
Manage episode 223220977 series 121255
Today, I want to review the evaluation and management of an acute COPD exacerbation.
We have a 65 year old obese male who's a former smoker of 30 years (1 pack/day), but quit 5 years ago.
He has a past medical history of COPD on 3L nasal canula, coronary artery disease, GERD, and type 2 DM.
He's presenting with a 3 day history of subjective fever, increasing cough, increasing sputum production, and shortness of breath.
On exam, he has bilateral wheezing.
First let's treat the vitals:
- fever = tylenol
- tachycardia = EKG and former EKG
- hypoxia = high flow oxygen first line
Now, that we've got the base down, we can start to manage the underlying cause: COPD exacerbation.
I'll walk you through every step of the way in today's podcast.
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
- Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
https://www.facebook.com/groups/medgeeks- This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
406 episodes
Manage episode 223220977 series 121255
Today, I want to review the evaluation and management of an acute COPD exacerbation.
We have a 65 year old obese male who's a former smoker of 30 years (1 pack/day), but quit 5 years ago.
He has a past medical history of COPD on 3L nasal canula, coronary artery disease, GERD, and type 2 DM.
He's presenting with a 3 day history of subjective fever, increasing cough, increasing sputum production, and shortness of breath.
On exam, he has bilateral wheezing.
First let's treat the vitals:
- fever = tylenol
- tachycardia = EKG and former EKG
- hypoxia = high flow oxygen first line
Now, that we've got the base down, we can start to manage the underlying cause: COPD exacerbation.
I'll walk you through every step of the way in today's podcast.
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
- Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
https://www.facebook.com/groups/medgeeks- This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
406 episodes
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