رجل عمره ٧٠ سنة عنده انسداد رئوي مزمن، جاء بتفاقم حاد بعد عدوى. زاد ضيق نفسه، وزادت كمية البلغم وتغير لونه للأخضر. الحرارة ٣٨٫٠، والتنفس ٢٦، والتشبع ٨٩٪ على هواء الغرفة. أي أدوية يتوقعها الممرض غالباً؟ (اختر كل ما ينطبق)

A 70-year-old man with COPD has an acute infective exacerbation with worse breathlessness and increased, green sputum. T 38.0 °C, RR 26, SpO2 89% on room air. Which drugs does the nurse usually expect? (Select all that apply)

1. Systemic steroids for several days
2. An antibiotic, given increased purulent sputum
3. Stopping all his regular inhalers
4. A short-acting bronchodilator by nebuliser or inhaler
5. A strong sedative so he can rest and sleep

Answer: A) Systemic steroids for several days, B) An antibiotic, given increased purulent sputum, D) A short-acting bronchodilator by nebuliser or inhaler. COPD exacerbations are treated with short-acting bronchodilators, systemic steroids for about 5 days and antibiotics when sputum is purulent, with controlled oxygen. Sedatives depress breathing.