View source for COPD-MANAGEMENT (OXYGEN & NIV)

===== [[Summary Article|'''SUMMARY''']] =====
1. Use low inspired concentrations of O<sub>2 </sub>to maintain sats 88-92%  
<br/>
<br/>2. Monitor using ABG &amp; pulse oximetry. 
<br/>
<br/>3. Note risk of worsening hypercapnia. High flow O<sub>2</sub> assoc. with more morbidity.
<br/>
<br/>4. NIV is indicated in hypercapnic respiratory failure (RR &gt; 30 and/or pH &lt; 7.35).
<br/>
<br/>5. Start at low pressures, aim to dec RR &amp; inc pH within an hour (repeat ABG).
<br/>
<br/>6. Indications for invasive ventilation: unable to protect airways, no spontaneous respiration, refractory hypoxia, severe acidosis.


==Reference(s)==
Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Copd]]
[[Category:Respiratory]]
[[Category:Medicine]]