What is the initial medication administered for COPD treatment according to the algorithm?

What is the initial medication administered for COPD treatment according to the algorithm?

• A. Oxygen and IV fluids
• B. Albuterol and Atrovent
• C. CPAP and intubation
• D. 300cc fluid bolus

Answer: (B)

The initial medication administered for COPD treatment is Albuterol and Atrovent because these are bronchodilators that help to relieve bronchospasm, reduce airway resistance, and improve airflow in patients experiencing an acute exacerbation of chronic obstructive pulmonary disease (COPD). Albuterol is a short-acting beta-agonist that works by relaxing the muscles of the airways and increasing airflow to the lungs. Atrovent, or ipratropium bromide, is an anticholinergic bronchodilator that provides additional symptomatic relief and can be particularly effective when used in conjunction with albuterol.

This combination is a standard approach in the management of acute COPD exacerbations, targeting the immediate need to open the airways and facilitate better breathing. Other options, such as oxygen and IV fluids, or fluid boluses, might be relevant in supportive care but do not specifically address the bronchospasm caused by COPD. CPAP and intubation are advanced interventions used for severe respiratory distress but are not first-line treatments for managing COPD exacerbations. Hence, the correct approach focuses on the initial use of bronchodilators like Albuterol and Atrovent to stabilize the patient.