Answer BOF 38

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BOF: 38

A 70 year old male who is known to have COPD is admitted with a history of increasing breathlessness and cough productive of green sputum. The patient has no other illnesses and no history of drug allergies.

The chest X-ray does not show evidence of consolidation

In this patient which one of the following would you use?

a)   Amoxicillin

b)   Teicoplanin

c)    Cefotaxime

d)   Erythromycin

e)   Amoxicillin plus macrolide

Answer :a)

In a patient with COPD cough productive of yellow or green sputum suggests that there is an infection

Treatment would be with an antibiotic

Amoxicillin would be the choice from the drugs listed

If there was evidence of consolidation one would add in a macrolide

Revision Tip

Revise COPD KEYS to SUCCESS in Medicine page 188-191

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