American Board of Family Medicine (ABFM) Practice Exam 2025 - Free ABFM Practice Questions and Study Guide

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What should be monitored in a patient with COPD on home oxygen therapy?

Effectiveness of therapy

Signs of respiratory failure

Frequency of hospitalizations

All of the above

In managing a patient with chronic obstructive pulmonary disease (COPD) who is on home oxygen therapy, it is vital to monitor multiple aspects of their health.

Monitoring the effectiveness of therapy involves assessing whether the oxygen delivered is adequately improving the patient’s oxygen saturation and overall respiratory function. This ensures that the patient receives the correct amount of oxygen to meet their needs, promoting better quality of life and reducing the risk of complications.

Observing for signs of respiratory failure is critical in patients with COPD, as they can decompensate quickly. Symptoms such as increased shortness of breath, use of accessory muscles, or changes in mental status might indicate that the patient is not maintaining adequate ventilation or oxygenation. Quick recognition of these signs can lead to timely intervention.

Tracking the frequency of hospitalizations provides insight into the patient’s stability and management of their condition. Frequent hospital visits may suggest that the current management strategies are insufficient or that the disease is progressing, necessitating a more comprehensive evaluation and potential adjustments in therapy.

All these aspects are interconnected and contribute to a holistic view of the patient’s ongoing health status while on oxygen therapy. Hence, comprehensive monitoring is essential to maximize treatment effectiveness and patient safety.

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