| boldlyd9850et | Date: Friday, 2012-07-06, 12:37:01 | Message # 1 |
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[/b]<<--nts, such as N-acetylcysteine or iodide preparations, in acute exacerbations of COPD. In fact, some drugs of this class may worsen bronchospasm. ?Oxygen. Yes.?Demonstrated to improve exercise performance, symptom indices and mortality?Goal in hypercapnic patients for SpO2 need not be greater than 88-90%?Always test COPD patients for oxygenation with ambulation if baseline at rest room air SpO2 ok?Systemic Corticosteroids?Never demonstrated to significantly impact mortality or exercise capacity?Slight improvements in symptom indices?Significant side effects?Rarely of benefit, generally of harm to your patient?Occasionally useful in a small subset failing other therapies AND with demonstrated bronchodilator response on PFT’s?Inhaled Corticosteroids?Jury still out?Lots of recent research with some favorable data supporting its use?May be part of standard regimens in the future?Vaccines?Pneumovax, annual flu shots?Chronic antibiotic therapy – BAD IDEA?Nutritional status – Important?Pulmonary Rehabilitation?Improved exercise capacity, symptom scores?Lung Volume Reduction Surgery?TransplantManaging Acute Exacerbations of COPD?Common precipitants:?Infection – esp viral or bacterial?Acute bronchospasm?Sedation?Who To Ad
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[/b]William Rugh, a former ambassador to Yemen and the United Arab Emira
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[/b]The eruption of the volcano, located on an uninhabited island about 180 miles southwest of Anchorage, prompted observatory officials to raise the volcano's threat level to red, meaning an eruption was imminent.
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