COPD Pathway - Direct Referral
Indications for Hospital Admission
Refer appropriately to prevent further deterioration . The risk of death from exacerbation of COPD increases with acute Carbon dioxide retention , association with co-morbid conditions e.g IHD and complications such as pneumonia
Consider hospital admission if:
- Inadequate response to general practice management.
- Severe or rapid onset or cyanosis.
- Unable to walk between rooms when previously mobile.
- Unable to eat or sleep because of dyspnoea.
- Unable to manage at home even with COPD home support resources.
- High risk co-morbidity condition i.e. pneumonia, crescendo angina, renal impairment.
- Altered mental status and / or other signs of CO2 retention.
- Worsening hypoxaemia with need for oxygen, worsening right ventricular failure (oedema).
- Newly occurring arrhythmia.(COPD-X)
Phone the General Medicine Acute Registrar or Medical MOSS at:
Tauranga Hospital Tel: 07 579 8000
Whakatane Hospital Tel: 07 306 0999
Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016
Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.