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Exacerbations of chronic obstructive pulmonary disease
Christine Garvey1, Gabriel Ortiz
1Seton Pulmonary and Cardiac Rehabilitation, Daly City, CA, USA.
The Open Nursing Journal
|March 7, 2012
Summary
Effective management of chronic obstructive pulmonary disease (COPD) exacerbations involves prompt treatment and preventative strategies. Nurse practitioners and physician assistants play a key role in implementing pharmacologic and non-pharmacologic interventions to improve patient outcomes.
Area of Science:
- Pulmonology
- Healthcare Management
Background:
- Chronic obstructive pulmonary disease (COPD) is a major cause of illness and death.
- Poorly managed COPD leads to frequent exacerbations, increasing healthcare costs and worsening lung function.
Purpose of the Study:
- To present the perspective of nurse practitioners and physician assistants on managing COPD exacerbations.
- To outline pharmacologic and non-pharmacologic treatments for acute and preventative care of COPD exacerbations.
Main Methods:
- Review of current respiratory guidelines for COPD exacerbation management.
- Synthesis of evidence-based pharmacologic and non-pharmacologic treatment modalities.
Main Results:
- Acute exacerbations are treated with short-acting bronchodilators, oral corticosteroids, and antibiotics.
- Preventative strategies include maintenance pharmacotherapies, smoking cessation, vaccinations, pulmonary rehabilitation, and self-management support.
Conclusions:
- A comprehensive approach integrating pharmacologic and non-pharmacologic interventions is crucial for managing COPD exacerbations.
- Nurse practitioners and physician assistants are integral to implementing these strategies for improved patient outcomes and reduced healthcare utilization.
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