<< Algorithm Module A
Module B

Reinforce knowledge motivatioPatient with acute exacerbation of COPD presenting to primary care [ P ]
Assess patient condition
Is O2 saturation < 90%? Administer oxygen therapy to keep saturation 90% or less
Indication for referral to emergency department/hospital? [ Q ] Arrange for transfer (initiate bronchodilator and/or oxygen therapy if necessary) [ R ]
Obtain medical history, physical examination and laboratory tests to rule out other alternative diagnoses [ T ] Management of exacerbation in Emergency Department [ S ]
Initiate drug therapy with bronchodilators [ U ]
Consider other factors contributing to COPD exacerbation
Is there evidence of respiratory infection? [ V ] Consider antibiotic treatment [ V ]
Consider oral glucocorticoid treatment [ W ]
Is patient able to go home? or Are acute symptoms resolved?
Slowly taper intensity of bronchodilator and glucocorticoids to baseline maintenance regimen
Patient with acute exacerbation of COPD presenting to primary care [ P ] Arrange for follow-up if needed. Instruct patient to contact clinic if clinical status deteriorates [ X ]