Health Condition 1: J99- Respiratory disorders in diseasesclassified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinically diagnosed cases of chronic obstructive pulmonary disease experiencing a moderate acute exacerbation according to the ROME proposal
Exclusion criteria
Exclusion criteria: Patients requiring immediate endotracheal intubation on arriving at the emergency medicine department. Patients with severe symptoms like breathlessness who are unable to blow into the PEFR device. Patients with altered sensorium or reduced levels of consciousness unable to blow in the PEFR device. Patients in shock with systolic blood pressure less than 100 mmhg Patients with dyselectrolytemia contraindicating the use of magnesium sulphate like hyperkalaemia and hypocalcaemia Patients with renal failure and heart block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Assessment of improvement in the peak expiratory flow rate, blood gas analysis results and vital signs including heart rate, respiratory rate and oxygen saturation among participants in the study group.Timepoint: At presentation and at 60 minutes after presentation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2. To monitor the symptomatic relief based on CAT score and assess the need for ICU admission, duration of hospital stay, need for invasive or non-invasive mechanical ventilation along with q SOFA score and CURB-65 score in these patients so as to determine the mortality and morbidity among the participants from the study groupTimepoint: at presentation and 60 minutes after presentation. | — |
Countries
India
Contacts
Datta Meghe Institute of Higher Education and Research