By vgreene, 6 November, 2014 If environment risks: Reduce occupation dust/fume/gas and indoor/outdoor pollutant exposure [B]
By vgreene, 6 November, 2014 If smoker, cessation tx [A]using ≥1 first-line tx:1 Nicotine gum/inhaler/spray/patch or meds (bupropion SR, nortriptyline, varenicline); use drugs along w/ intervention program; counsel7 at every visit
By vgreene, 6 November, 2014 Long-acting inhaled bronchodilator1 +/- additional agents, assess for O2 tx, consider surgery (COPD Category D)2
By vgreene, 6 November, 2014 Alternative:1 3-agent or 2-agent combo: inhaled steroid + LABA combo along w/ either a long-acting anticholinergic or PDE4i (roflumilast);1 or long-acting anticholinergic along w/ either a LABA or PDE4i (roflumilast)1
By vgreene, 6 November, 2014 1st-line: Inhaled steroid + LABA combo (budesonide/formoterol, fluticasone/salmeterol, fluticasone/vilanterol, mometasone/formoterol) and/or long-acting anticholinergic (aclidinium, tiotropium, umeclidinium)
By vgreene, 6 November, 2014 Encourage physical activity. If SOB walking @ own pace on level: Offer pulm rehab