The video version of this podcast can be found here:
• Breathe easy: NICE on ...
The link to the video on COPD diagnosis can be found here:
• Is this COPD? - NICE o...
The link to the video on stable COPD management can be found here:
• Don’t huff and puff: N...
This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the section on exacerbations in the NICE guideline [NG115] on COPD in adults, and also the NICE guideline [NG114] on antimicrobial prescribing on COPD acute exacerbations, always focusing on what is relevant in Primary Care only.
I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast:
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The resources consulted can be found here:
Chronic obstructive pulmonary disease in over 16s: diagnosis and management- NICE guideline [NG115] can be found here:
● www.nice.org.u...
The visual summary for the treatment of COPD can be found here:
● www.nice.org.u...
Chronic obstructive pulmonary disease (acute exacerbation): antimicrobial prescribing - NICE guideline [NG114] can be found here:
● www.nice.org.u...
The Medicines and Healthcare products Regulatory Agency advice for restrictions and precautions for using fluoroquinolone antibiotics can be found here:
● www.gov.uk/dru...
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Transcript
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Hello and welcome, I’m Fernando, a GP in the UK. Today we are going to do an up-to-date review of the section on exacerbations in the NICE guideline on COPD in adults, and also the NICE guideline on antimicrobial prescribing for acute exacerbations of COPD, always focusing on what is relevant in Primary Care only. If you wish to know about COPD diagnosis and stable COPD management, please see the corresponding episodes on this channel. The links are in the episode description.
Right, so let’s jump into it.
The first thing to do in General Practice is to determine whether there is a need for hospital treatment or whether the patient can be treated at home. NICE has produced a table including the factors to consider when deciding whether to treat the patient in hospital or in the community. The majority of these factors are straightforward and logical, basically sending to hospital those patients who are more symptomatic, unable to cope at home, frail etc, so I will not labour those points because you can use your clinical judgement when assessing the patient’s symptoms.
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