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COPD exacerbation — GPhC CRA MCQ

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HardRespiratory TherapeuticsCOPD exacerbationGPhC CRA

A 73-year-old man with COPD asks for an antibiotic because his sputum has become green and thicker over two days. He is more breathless than usual, has temperature 37.8C, oxygen saturations 91% on air and takes tiotropium plus a LABA/ICS inhaler. What is the most appropriate action?

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Correct answer: C — Refer for same-day clinical assessment of COPD exacerbation and possible antibiotics

Purulent sputum with increased breathlessness is compatible with an acute COPD exacerbation and may require antibiotics and/or oral corticosteroids after assessment. Oxygen saturation of 91% and increased breathlessness add urgency. The pharmacist should not advise use of leftover antibiotics. Inhaler dose doubling and cough suppression do not address the need to assess severity and complications.

Reference: NICE CKS COPD; BNF