By the H&L Editorial Team

A Quick Guide for COPD Patients and Families

Keep this in your wallet or on your phone.

GO TO THE ER IMMEDIATELY IF YOU NOTICE:

1. Sudden Shortness of Breath

• struggling to breathe
• unable to speak in full sentences
• using neck or chest muscles to breathe

2. Oxygen Saturation Dropping

• SpO₂ < 88% (if using a pulse oximeter)
• bluish lips or fingertips

3. Change in Mental State

• confusion
• drowsiness
• new agitation

These may signal high carbon dioxide levels.

4. Severe Chest Tightness or Wheezing

Especially if not relieved by rescue inhaler.

5. High Fever or Suspected Pneumonia

• fever > 38°C
• chills
• cough with yellow/green sputum
• chest pain when breathing

6. No Relief After 2 Nebulizations

If rescue treatment isn’t working, go to the ER.

7. Difficulty Walking or Doing Simple Tasks

When normal activities suddenly become impossible.

Emergency Reminder

Bring:

• all inhalers
• list of medications
• pulse oximeter (if available)
• PhilHealth/insurance card
• last outpatient prescription

“Don’t wait for breathlessness to become severe. Early action saves lungs — and lives.”