Tailor treatment to the patient with COPD

20 Dec 2021Registered users

COPD is characterised by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases and influenced by host factors including abnormal lung development. Performance and interpretation of spirometry should be based on clinical suspicion of airway disease in a patient with suggestive symptoms and exposures, where a medical history has been taken and examination performed.

Managing acute asthma in adults in primary care

20 Dec 2021Registered users

Treatment with bronchodilators and oral corticosteroids should be given as soon as possible in an acute asthma exacerbation. In moderate exacerbations, hospital admission is based on multiple factors, including response to initial treatment, known reduction in baseline lung function, history of exacerbations, particularly previous need for critical care involvement, and ability to cope at home. Patients with features of acute severe or life-threatening asthma should be referred to hospital immediately following initial assessment.