Guideline COPD

1. Salbutamal inhalation 1-2 puff 2-6

8-12 puff /

1. Beradual MID 2-6 puff 6 -8

2. Salbutamal inh 1-4 puff 2
6
3.
Theophyllin SR
200-400 mg oral BID 400-800 mg oral HS
( noctural
bronchospasm)
4. Steroid inh
(Beclomethazone
1-5 puff 2-4 )

Mild COPD

Moderate COPD

( shortness of breath on exercise )

( Acute exaceration )

5. Mucolytic agent
3

Severe COPD

( Rt heart failure )
(Severe acute exaceration )

1. 2
2. Prednisolone 1-2 mg / kg / day 60
mg / day
steroid
3. Beradual MID 6 -8 puff 3 -4

Severe acute
exaceration

RR .]> 25 /
( Dyspnea at rest )
PR > 110 /

1. dose Salbutamal inh 6-8 puff 2

Salbutamal solution NB 2
2. Bricanyl Adrenaline 0.1 0.5 SC
3. dose Beradual inh 6-8 puff 3-4
Beradual solution 0.5 NB 4-8
4. Dexamethazone 8 mg IV
4 mg 6
prednisolone 7-10 steroid
5. aminophyllin IV
initial dose 2.5 5
mg /kg ( loading ) 30
Maintenance dose 0.5 mg /kg / hr

1.
\

2.

Long term o2 therapy COPD

1.

15 /

2.

( home o2 therapy )

PaO2 < 55 mmHg Sat 02 < 88 %

PaO2 55 - 59 mmHg Sat 02 > 88 %

POLYTHEMIA ( HCT > 55%

CORPULMONAL , CHF ,