Today, I want to review the evaluation and management of an acute COPD exacerbation.  We have a 65 year old obese male who's a former smoker of 30 years (1 pack/day), but quit 5 years ago.  He has a past medical history of COPD on 3L nasal canula, coronary artery disease, GERD, and type 2 DM. He's presenting with a 3 day history of subjective fever, increasing cough, increasing sputum production, and shortness of breath. On exam, he has bilateral wheezing.  First let's treat the vitals: fever = tylenol tachycardia = EKG and former EKG hypoxia = high flow oxygen first line Now, that we've got the base down, we can start to manage the underlying cause: COPD exacerbation. I'll walk you through every step of the way in today's podcast.  - Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=medgeeks - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Learn better medicinee: https://learn.medgeeks.co - Have questions? Email team@medgeeks.co - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.