### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my wife has been diognized with COPD and we are in the process of changing Doctors as the Dr she was referred to by the hospital is not Board Certified and was not providing adequate care. the problem is she has used up all of her rescue and daily inhalers and has nothing until she gets to a new Doctor. we saw on TV that there is a new Broncial inhaler that I believe is non prescription but we can remember the name of it and cannot find it at any local pharmacies. What are her options until she can get in to see a new doctor?

### output:

Hi rick5547Thanks for coming to ChatDoctorCOPD needs staging via spirometry and accordingly treatment has to be given. The treatment also depends on whether the patient has got respiratory failure, is she in acute exacerbation, has she got any comorbidities like heart disease, diabetes, osteoporosis, depression etc... You can try a combination of long acting beta 2 agonists like albuterol or formoterol plus inhaled corticosteroid like budesonide or fluticasone along with long acting muscarinic antagonists like geotropism... If your wife is in acute exacerbation manifested by increased baseline dyspnea, cough, sputum production and its purulence...you can give her a course of antibiotics like amoxicillin clavulanic acid and azithromycin along with short course of steroids like prednisolone 40 mg once a day for 10-14 days....and don't forget the nebulization by albuterol and ipratropium 6 holy... If she is continuously in respiratory failure then probably she is needing controlled oxygen therapy to maintain oxygen saturation just above 90%.... best wishes