By vgreene, 7 April, 2023 Ventilation Consider NPPV in select pts eg if persistent daytime hypercapnia 4
By vgreene, 7 April, 2023 Eval response De escalate tx when appropriate Check inhaler technique every visit
By vgreene, 7 April, 2023 Start LABA LAMA 1 o LABA options arformoterol formoterol olodaterol salmeterol o LAMA options aclidinium glycopyrrolate revefenacin tiotropium DPI MDI umeclidinium o LAMA LABA combo options aclidinium formoterol glycopyrrolate formoterol tiotropium olodat
By vgreene, 7 April, 2023 Prescribe rescue short acting BD SABA or SAMA to all pts for immediate sx relief SABA options albuterol levalbuterol MDI NEB SAMA ipratropium MDI NEB
By vgreene, 7 April, 2023 Follow COVID 19 mitigation strategies10 and test for SARS CoV 2 if warranted eg new or worsening resp sx fever loss of taste and or smell 11
By vgreene, 7 April, 2023 Consider shielding measures eg masking social distancing handwashing to prevent exac in winter months