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General Medicine · Respiratory · Q7 4th Professional
High yield Long question · 10 marks
Discuss the management of acute exacerbation of COPD (AECOPD).
Definition

An acute worsening of respiratory symptoms beyond normal day-to-day variation, requiring a change in regular medication.

Management at a glance
OxygenControlled O₂, target SpO₂ 88–92% in CO₂ retainers
BronchodilatorsNebulised salbutamol + ipratropium
SteroidsOral prednisolone, short course
AntibioticsIf sputum purulence or consolidation
Exam pearl — uncontrolled high-flow oxygen risks worsening hypercapnia. State the target range explicitly and you secure the mark.

Answer continues: NIV criteria · discharge checklist · mnemonic

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108
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102
Pathology
99
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99
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87
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