Question

A 69-year-old with COPD presents with increased dyspnoea, sputum volume and purulence. SpO2 93% on air, no pneumonia signs. Best initial community management?

Accepted Answer

Oral prednisolone 30 mg for 5 days and standby antibiotics if sputum purulent

Answer

Increase SABA only and review in 2 weeks

Answer

Immediate IV antibiotics in the community

Answer

Oral prednisolone 10 mg for 14 days plus macrolide

Answer

Start long-term oral steroids

Practice question

A 69-year-old with COPD presents with increased dyspnoea, sputum volume and purulence. SpO2 93% on air, no pneumonia signs. Best initial community management?