By rray, 22 February, 2024 Consider shielding measures e g masking social distancing handwashing to prevent exac in winter months
By rray, 22 February, 2024 Evaluate and treat comorbidities CVD skeletal muscle dysfxn metabolic syndrome osteoporosis depression anxiety lung CA
By rray, 22 February, 2024 Create written COPD exac action plan w educational component maintain regular clinician contact
By rray, 22 February, 2024 If environment risks efficient ventilation nonpolluting cooking stoves etc B avoidance of irritants if possible D
By rray, 22 February, 2024 Vaccinate COVID 19 according to nat l recs B Flu annually B Tdap if not previously received B Zoster if 50 yo B CDC recommends 1 dose of PCV20 or 1 dose of PCV15 followed by PPSV23 in pts w COPD B RSV vaccine A
By rray, 22 February, 2024 Smoking cessation A Prescribe 1 first line tx varenicline nortriptyline bupropion SR nicotine gum lozenge inhaler spray patch use drugs along w intervention program counsel1 at every visit No evidence to support use of e cigs as cessation aid
By rray, 22 February, 2024 After tx initiation review assess and adjust if needed Review sx and exac risk hx and blood eos Assess inhaler technique and benefits of non pharm tx e g pulm rehab self mgmt education at every visit If benefit is documented continue otherwise stop or try