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<sup>1</sup> <b>Brief cessation counseling:</b><br>
• <b>Ask</b> tobacco users about tobacco use at every visit; use office-wide identification system.<br>
• <b>Advise</b> quitting, in a clear, strong, personalized manner.<br>
• <b>Assess</b> willingness to quit, determine when (e.g., w/in next 30 days).<br>
• <b>Assist</b> w/ quit plan, including practical counseling, exploring social support, prescribing pharm tx, educational resources.<br>
• <b>Arrange</b> f/u in person or via phone, etc.
• <b>Ask</b> tobacco users about tobacco use at every visit; use office-wide identification system.<br>
• <b>Advise</b> quitting, in a clear, strong, personalized manner.<br>
• <b>Assess</b> willingness to quit, determine when (e.g., w/in next 30 days).<br>
• <b>Assist</b> w/ quit plan, including practical counseling, exploring social support, prescribing pharm tx, educational resources.<br>
• <b>Arrange</b> f/u in person or via phone, etc.
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<b>Prescribe rescue short-acting BD</b> (SABA or SAMA) to all pts for immediate sx relief. <b>SABA options:</b> <a href=https://online.epocrates.com/e/deeplink/drugs/10a3308/albuterol%20inhaled><u>albuterol</u></a>, levalbuterol (<a href=https://online.epocrates.com/e/deeplink/drugs/10a4146/Xopenex%20HFA><u>MDI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a2202/levalbuterol%20inhaled><u>NEB</u></a>). <b>SAMA:</b> ipratropium (<a href=https://online.epocrates.com/e/deeplink/drugs/10a4060/Atrovent%20HFA><u>MDI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a418/ipratropium%20bromide%20inhaled><u>NEB</u></a>).