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COPD exacerbation rescue treatment — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsCOPD exacerbation rescue treatmentGPhC CRA

A patient with COPD presents with increased breathlessness and sputum volume, and the sputum has become purulent. They have a personalised rescue pack from their GP. What would you advise the patient?

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Correct answer: B — Use the rescue antibiotic and steroid as directed and seek review if worsening

Purulent sputum with increased breathlessness and sputum volume is consistent with a COPD exacerbation where a rescue antibiotic and short steroid course may be appropriate. The patient should follow the agreed plan and seek review if symptoms worsen or fail to improve. Long-term prednisolone is not routine rescue use. Increasing maintenance inhalers alone is not a substitute for managing an exacerbation.

Reference: NICE CKS; BNF