Indications for Intubation | Exacerbation of COPD

Purpose: To determine if a patient experiencing an exacerbation of chronic obstructive pullmonary disease (COPD) should be intubated.

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Evaluation

Are you evaluating a patient with an exacerbation of COPD?

Yes

Has the patient had a cardiopulmonary arrest?

Yes

Glasgow coma score (enter from 3 to 15)

Minimum arterial pH

Arterial pH one hour previous

PaCO2

PaO2 on maximum tolerated supplemental oxygen

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of indications for intubation and respiratory support

Should the patient be intubated?

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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

options
selection

ICD-10

J44 - Other chronic obstructive pulmonary disease

Info

Purpose: To determine if a patient experiencing an exacerbation of chronic obstructive pullmonary disease (COPD) should be intubated.

Specialty: Pulmonology

Objective: options, selection

ICD-10: J44,

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