An attempt at COPD Cardinal Symptoms cases

A patient has worsening of dyspnea AND increased wheezing

1 exacerbations in the last year, no signs of infection.

What medication would you give them?

• Albuterol

• Albuterol & Doxycycline +/- Methylprednisolone

• Albuterol & Doxycycline+/- Methylprednisolone, also go to the hospital.

A patient has worsening of dyspnea AND increase in sputum purulence

1 exacerbations in the last year, possible signs of infection.

What medication would you give them?

• Albuterol

• Albuterol & Doxycycline +/- Methylprednisolone

• Albuterol & Doxycycline+/- Methylprednisolone, also go to the hospital.

A patient has worsening of dyspnea AND increase in sputum purulence AND increase in sputum volume.

5 exacerbations in the last year, confirmed signs of infection.

What medication would you give them?

(slide 14 and 29/30??)

• Albuterol & levofloxacin +/- Methylprednisolone

• Albuterol & Doxycycline +/- Methylprednisolone

• Albuterol & Doxycycline+/- Methylprednisolone, also go to the hospital.

• Albuterol & levofloxacin +/- Methylprednisolone, also go to the hospital.

A patient has increase in sputum purulence AND upper respiratory tract infection (URTI) for 5 days

3 exacerbations in the last year

What medication would you give them?

• Levalbuterol

• Levalbuterol & Clarithromycin +/- Prednisolone

• Levalbuterol & Clarithromycin +/- Prednisolone, also go to the hospital.

A patient has increase in sputum volume AND worsening dyspnea

3 exacerbations in the last year

What medication would you give them?

• Levalbuterol

• Levalbuterol & Clarithromycin +/- Prednisolone

• Levalbuterol & Clarithromycin +/- Prednisolone, also go to the hospital.

A patient has increase in sputum volume AND worsening dyspnea AND increase in sputum purulence

5 exacerbations in the last year

What medication would you give them?

• Levalbuterol

• Levalbuterol & Amoxicillin/Clavulanate +/- Prednisolone

• Levalbuterol & Amoxicillin/Clavulanate +/- Prednisolone, also go to the hospital.

A patient has increase in sputum volume AND increased heart rate

What medication would you give them?

• SABA

• SABA & Antibiotics +/- oral corticosteroids

• SABA & Antibiotics +/- oral corticosteroids, also go to the hospital.

A patient has increase in sputum volume AND increase in sputum purulence.

possible infection?

What medication would you give them?

• SABA

• SABA & Antibiotics +/- oral corticosteroids

• SABA & Antibiotics +/- oral corticosteroids, also go to the hospital.

A patient has increase in sputum volume AND increase in sputum purulence AND worsening dyspnea.

confirmed infection

What medication would you give them?

• SABA

• SABA & Antibiotics +/- oral corticosteroids

• SABA & Antibiotics +/- oral corticosteroids, also go to the hospital.