COPD And Hypercapnia and Respiratory Acidosis | Medical Algorithm

Evaluation

Are you evaluating a patient with COPD?

Yes

Has the patient been started on supplemental oxygen?

Yes

Arterial pH prior to initiation of supplemental oxygen

Arterial pH after initiation of supplemental oxygen

PaCO2 prior to initiation of supplemental oxygen

PaCO2 after initiation of supplemental oxygen

Is the patient hypotensive?

Yes

Does the patient have renal failure with uremia?

Yes

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Has the patient had an increase in PaCO2 following the start of supplemental oxygen?

Number of factors associated with a worse prognosis

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Changes of Emphysema in Plain Chest Radiograph (Chest X-Ray)
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags

Therapy

Options
Selection
Administration
- Indicators for COPD Patient Being Admitted to Hospital from ED
Referral And Transfer
- Indications for Referral of Patient with COPD to Pulmonologist

Monitoring

Disease Progression
Complication Detection
- Model of Murata et al for Predicting Relapse Following Outpatient Treatment for Decompensated Chronic Obstructive Pulmonary Disease (COPD)

Specialty

Pulmonology

Objective

complications

ICD-10

J44 - Other chronic obstructive pulmonary disease

Acute Hypercapnia & Respiratory Acidosis Associated with Supplemental Oxygen Therapy | COPD

Purpose: To identify oxygen-induced hypercarbia in a patient with chronic obstructive pulmonary disease (COPD) caused by administration of supplemental oxygen.