CPD – Case-based: COPD part 2

Case study 5 – Mr J

You are seeing Mr J, a 75-year-old man, for his COPD review. He comes in carrying a large box and tells you that his daughter was in Lidl at the weekend and they had nebulisers for sale at a very reasonable rate. She bought one for him and he would now like you to prescribe nebules for him and refer for an oxygen cylinder to power the nebuliser.

Which of the following is true about the use of nebulisers in COPD?

a. Bronchodilator therapy is significantly more expensive when delivered via a nebuliser compared to via an inhaler

b. All nebulisers used in COPD should be driven by oxygen

c. NICE recommend a nebuliser as an alternative for patients who cannot achieve good inhaler technique 

d. NICE advise that nebulised therapy should only be initiated by a specialist

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