Managing COPD Exacerbation In Primary Care
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- Опубліковано 26 чер 2024
- Walking into an examination room and seeing a patient hunched over with labored breathing, audible wheezing, and an oxygen tank can be intimidating for any nurse practitioner.
And if you’re a nurse practitioner in primary care, it is essential to understand the management of COPD exacerbations to provide the best care you can to patients.
COPD exacerbation can look scary, but the management is fairly straightforward. So is the choice of whether or not to prescribe antibiotics (and which ones!)
This week, we’re sharing a case study about the management of COPD exacerbation in primary care. We’ll cover:
✅How to know who should go to the ER
✅ When to give antibiotics (and which one, for how long)
✅ The general management you should be doing in primary care as a PCP for someone with COPD
PLUS! You can also download the COPD Management Cheat Sheet that you can keep at your desk to help you in your clinical practice! realworldnpcheatsheets.s3.ama...
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Video Breakdown:
00:00 - Introduction
01:00 - Patient History
03:56 - COPD Exacerbation Definition
05:02 - Steps in Management COPD
06:39 - Treatment
11:57 - Follow Up Care
15:42 - Assessment of GOLD Classification
18:15 - Conclusion
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Don't forget to grab your free Ultimate Resource Guide for the New NP at www.realworldnp.com/guide
Sign up for the Lab Interpretation Crash Course: www.realworldnp.com/labs
Grab your copy of the Digital NP Binder: www.realworldnp.com/binder
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Come follow along for even more tips and inspiration:
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Facebook: / realworldnp
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Please note: This episode is intended only for medical providers and students learning to be medical providers.
While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.
If you’re a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at www.realworldnp.com/mentoring.
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© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.
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You're binder is a Godsend! I cannot express to new NP's to get on your "program". You make learning more enjoyable and life in this new world less daunting. THANK YOU!
You’re so welcome and thank you so much!
Thank you for all the information you provide; I am so grateful to have found your videos.
Yay! You're so welcome!
I am so grateful that I stumbled across your videos. I find them to be very informative, well organized and easy to follow. Thank you for sharing your knowledge. I look forward to your weekly video.
This was a helpful and simple break down! Thank you
You're so welcome!
Thank you so much for the videos. They are very helpful ❤️
You are so welcome! Thank you!
Great video thank you Liz
You are so welcome!
Great video!
Thanks!
Great explained
Glad it was helpful!
That’s a lot of information to absorb. I will go back and listen again. The only problem I have is, she talked so fast, I missed so much of what was covered.
Thanks! There is a gear icon on the bottom right of the screen. You can slow down the video to 3/4 or 1/2 speed - hopefully that is helpful!
Thanks a lot Liz for all your helpful instructions and tips! How do I download some of the tips your share?
When you say tips, do you mean cheat sheets? Is there something specific you are looking for? Or, are you looking to share the videos?
Thank you for this video! I am new to copd exacerbation as I am just going through my first one now. I just wish the health care system here in Canada was better because it seems you get pushed the wayside. I'm 55 and was a smoker for many decades but that doesn't mean you should ignore me
You are correct. Always advocate for yourself in healthcare.
thank you ! this was great. Had a question- is there a contraindication to offering patients a vaccine (Tdap, Flue or pneumococcal)when they show up with a COPD exacerbation such as the one in this case study?
Hm, that's a great question. I think in general clinical practice, most clinicians wait until someone is feeling better to vaccinate in case of a reaction, whether that worsens the exacerbation symptoms or introduces new symptoms that we won't necessarily be able to differentiate between the vaccine effect and the illness effect. But in terms of the evidence, I don't know if it affects the efficacy of the vaccine, so personally, I just wait until they're feeling better.
Very very good presentation. Thank you so much for sharing your knowledge 🙏🏾
You are so welcome
Just figuring out how to talk to my pumonoligist so that we are on the same page. I am in the severe copd group and was not diagnosed till to late...Maybe because I had learned to breath as a teenager..sports and yoga and I slipped under the radar.
Hang in there!
Do you have cheat sheets / algorithms for sale?
Check out our site. Our courses come with awesome cheat sheets and algorithms. We are also updating Digital Binder with primary care cheat sheets. www.realworldnp.com/labs
Yup! I need a medical terminology class! Any chance an explanation in layman's terms? Just kidding. Carry on. I'll try to re-listen. Thank you!
lol thank you!
You are AWESOME but please slow down u sound like u are in a 911 ! Yea
True, but I have gotten better since I made this! In the future, you can always click on the gear icon below the video and slow the video down to a slower speed - it helps!
Please slow down your talking so fast the words are not being heard
I know and apologize and am working on my speed. If it helps you can slow the speed of each video under settings.
are u practicing doctor?
I am a practicing Nurse Practitioner.
@@RealWorldNP thanks !normaly hep b is treated via oral medicines and injections my question is when is hepatits b patient told that he doesnt require any treatment ,how are his blood tests intrpretated so to determine he rquires treatment or not ?secondly can hepatitis b patient take cialis if prescribed by urologist ,is it harmless for him ,and are male enhancement products like vigrxplus ,maxperformer ,volume pills semenax harmless for hepatis b patient ,what he has to be careful about?plese guide thanks
Slow down, your tripping over your words
The newer videos have changed a lot as I have worked on this - for these videos, there is a gear symbol at the bottom right of the video, click on it, and you can slow down the speed of the video. Thanks!
wow speech too fast. too bad everything else would have been amazing....SLOW DOWN. dam it sure this may have helped more than you have..........wow do you talk at this speed to your patients
Thanks, Diane. The later videos are where I've really worked on speed. In the meantime, you DO have access to a way to slow down the video yourself to a speed that you desire - on the bottom of the video is an icon that looks like a gear. Click on it and choose your own speed that works best for you.
Great info. Maybe talk slower please.
Sorry about that..If you click the wrench under the video you can adjust the playback speed to your preference. Hope this helps.
Speak far to fast
If you click the wrench under the video you can adjust the playback speed to your preference. Hope this helps.