(Multiple Choice) Adult patients with chronic obstructive pulmonary disease who use respirators for acute respiratory failure, which treatment is appropriate? ①When the patient fights against the respirator, first consider using sedatives (Sedative). ②The patient uses intermittent sedation and wakes up for a period of time every day. Compared with continuous use of sedation, which does not require waking up for a period of time every day, it cannot shorten the use time of the respirator.③ In the state of metabolic acidosis, the setting of the respirator is changed from the original rapid ventilation, and the respirator speed is suddenly slowed down, which may lead to severe acidosis that is life-threatening. ④ Long-term continuous use of sedatives must consider the patients muscle atrophy

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

(Multiple Choice) Adult patients with chronic obstructive pulmonary disease who use respirators for acute respiratory failure, which treatment is appropriate? ①When the patient fights against the respirator, first consider using sedatives (Sedative). ②The patient uses intermittent sedation and wakes up for a period of time every day. Compared with continuous use of sedation, which does not require waking up for a period of time every day, it cannot shorten the use time of the respirator.③ In the state of metabolic acidosis, the setting of the respirator is changed from the original rapid ventilation, and the respirator speed is suddenly slowed down, which may lead to severe acidosis that is life-threatening. ④ Long-term continuous use of sedatives must consider the patient’s muscle atrophy

A	①
B	②
C	③
D	④

Explanation:

Detailed explanation-1: -For most people with COPD, short-acting bronchodilator inhalers are the first treatment used. Bronchodilators are medicines that make breathing easier by relaxing and widening your airways. There are 2 types of short-acting bronchodilator inhaler: beta-2 agonist inhalers – such as salbutamol and terbutaline.

Detailed explanation-2: -Corticosteroids that doctors commonly prescribe for the treatment of COPD exacerbations include prednisone and budesonide. Corticosteroids can cause systemic side effects, especially when a person takes them intravenously or orally.

Detailed explanation-3: -Morphine sulfate is the drug of choice for narcotic analgesia because of its reliable and predictable effects, safety profile, and ease of reversibility with naloxone.

Detailed explanation-4: -The majority of patients with acute respiratory failure due to acute exacerbations of COPD (AECOPD) should undergo a trial of noninvasive mechanical ventilation (NIV) because intubation can be successfully avoided and mortality reduced with this intervention [1-7].

There is 1 question to complete.

MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE