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COPD infective exacerbation — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsCOPD infective exacerbationGPhC CRA

A 58-year-old man with COPD reports increased breathlessness and sputum volume for three days. His sputum has become purulent, temperature is 37.9°C and oxygen saturation is 94% on air. He has NKDA and no recent antibiotics. What is the most appropriate alternative?

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Correct answer: B — Advise medical assessment for a possible infective COPD exacerbation and antibiotic need.

Increased dyspnoea, sputum volume and sputum purulence are typical features used to assess COPD exacerbations and possible bacterial infection. The pharmacist should arrange appropriate clinical assessment rather than treat as a simple cough. Maintenance bronchodilators are usually continued unless a clinician advises otherwise.

Reference: NICE CKS; BNF