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COPD exacerbation rescue pack — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsCOPD exacerbation rescue packGPhC CRA

A 69-year-old man with COPD has a rescue pack containing prednisolone 30mg daily for five days and doxycycline. He asks when he should start both medicines. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Start prednisolone for worsening breathlessness and use doxycycline if sputum becomes purulent

COPD rescue packs require clear instructions to avoid inappropriate use. Oral corticosteroids are used for significant worsening breathlessness, while antibiotics are used when sputum purulence or bacterial features suggest benefit. Repeated unsupervised monthly use may expose the patient to harm. The patient should know when to seek urgent help.

Reference: NICE CKS; BNF