Beta A.Wisman1, Radhiyatam Mardhiyah1, Eric Daniel Tenda2
1Departemen Ilmu Penyakit Dalam FKUI/RSCM
2Divisi Pulmonologi dan Perawatan Penyakit Kritis, Departemen Ilmu Penyakit Dalam FKUI/RSCM

ABSTRACT
Background: Chronic Obstruction Pulmonary Disease (COPD) has a high morbidity and mortality rate in the world, include in Indonesia. COPD GOLD D as an end stage of COPD contributes to a poor quality of life besides its high number in mortality.
Method: This is a case report of COPD GOLD D patient who were hospitalized in Cipto Mangunkusumo Natinal Hospital.
Results: A 53-year-old man complained of dyspneu 1 day before admission. Patient was diagnosed as COPD and was frequently admitted in hospital. Patient had an episode of exacerbation due to pneumonia, was admitted for 14 days and got a long acting of beta-2 agonis, corticosteroid inhalation (budesonide) and cephalosporine 4th generation. During the admission patient was diagnosed as an acute exaserbation in COPD GOLD D. Patient was clinically improved and got a combination of salmeterol+fluticasone and tiotropium.
Conclussion: The goal of COPD GOLD D management is a supportive care, the present standar therapy gives a clinical improvement although it has a high number in recurency, morbidity and mortality.
Keywords: management, COPD, GOLD D.