# COPD exacerbation (Acute on Chronic)
Patient with history of COPD who presents with wheezing, worsening cough and dyspnea, concerning for COPD exacerbation without concomitant pneumonia.
- Influenza, viral panel per clinical scenario
- CBC, BMP, ABG/VBG
- CPO, SpO2 goal>88%
- Albuterol/Ipratroprium nebulizer q4hr, reassessment
- Prednisone 40mg QD x 5 days
- Consider CRP, Azithro or Doxy x 5 days