Validity Intervention in acute exacerbations
There is little definitive information available as to the most appropriate way to treat acute exacerbations of COPD. Much of what is available is opinion based.3 Studies need to be considered which will determine such factors as
- Use of systemic steroids (what dose and for how long).
- The use of antibiotics.
- Are spacers and MDIs as effective a delivery device in the treatment of acute COPD as they are in asthma. (cf nebulisation).
- The use of CRP in COPD4
- Self management plans are commonly used in asthma and have been shown to be of benefit in the management of acute and chronic asthma.5
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