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Aggiornate le linee guida sulla diagnosi ed il trattamneto della BPCO: GOLD 2014.
25 GiuAggiornamento linee guida GOLD sulla diagnosi ed il trattamento della BPCO.
Highlights:
Trattamento delle riacutizzazioni
Short acting Beta 2 (associati o meno agli anticolinergici) trattamento di scelta
L’aggiunta Magnesio Solfato al Salbutamolo per via inalatoria, non migliora il FEV1
Corticosteroidi somministrati per via parenterale od orale (unico consigliato per via inalatoria è la Budesonide, ma occhio al costo!). Consiglio: prednisone 40 mg/die
La somministrazione precoce di antibiotici migliora i sintomi e la frequenza delle riacutizzazioni. Indicati in caso di:
Peggioramento della dispnea
Aumento dell’espettorato
Espettorato purulento
O2 terapia con maschera di Venturi (alti flussi e FiO2 variabile) con target di SaO2 tra 88-92%
Ma all’interno del documento troverete molto di più. Il consiglio è, come al solito, di leggerlo in modo accurato.
Scaricate i documenti completi:
GOLD Guidelines 2014 Full Report
GOLD Guidelines 2014 Pocket Manual
GOLD Guidelines 2014 Slideset
Troverai queste e molte altre linee guida alla pagina dedicata
Linee Guida
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Tag:asma, BPCO, bronchite cronica, GOLD, insufficienza respiratoria, Linee guida