Management of COPD Pneumonia in Ms. Kngwarreye

Introduction

Good morning to everyone of you. I will be discussing with you today how Ms. Kngwarreye, a 60-year-old Aboriginal woman with a long history of cigarette smoking and COPD, is being managed for her COPD pneumonia.

Medication Therapy

Ms. Kngwarreye is now on a corticosteroid prescription called prednisolone. Breathing becomes easier as corticosteroids reduce edoema and inflammation in the airways. Prednisolone is recommended as a treatment for pneumonia and other COPD exacerbations by the Global Initiative for Chronic Obstructive Lung Disease (GOLD).

Prednisolone treatment can cause hyperglycemia, which is very dangerous in diabetics. Although Ms. Kngwarreye does not have diabetes, she should have regular blood sugar checks while taking prednisolone. It has been demonstrated that prednisolone works well to lessen the intensity and length of COPD exacerbations.

Therapeutic Intervention

Ms. Kngwarreye is getting high flow nasal oxygen (HFNO) in addition to prednisolone. HFNO is a non-intrusive oxygen therapy approach that offers both warmed and humidified oxygen. HFNO works by supplying a high flow of oxygen to the patient's upper airway. As a result, positive end-expiratory pressure (PEEP) is created, which improves oxygenation and maintains open airways.

The GOLD recommendations also suggest HFNO as a therapy for hospital-associated severe exacerbations of COPD. It has been demonstrated to be useful in lowering respiratory distress and increasing oxygenation in individuals experiencing exacerbations of COPD. In a randomised controlled experiment, for instance, it was discovered that HFNO reduced the requirement for intubation in patients experiencing severe exacerbations of COPD more effectively than traditional oxygen treatment.

Conclusion

Ms. Kngwarreye's COPD pneumonia is being treated appropriately. Prednisolone is being administered to her to lessen edoema and inflammation in her airways, and HFNO is being administered to her to increase her oxygenation and lessen respiratory discomfort. In order to be sure she is responding to therapy, her progress has to be regularly watched.

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