By rray, 7 April, 2023 Create written COPD exac action plan w educational component maintain regular clinician contact
By rray, 7 April, 2023 If environment risks Efficient ventilation nonpolluting cooking stoves etc B avoidance of irritants if possible D
By rray, 7 April, 2023 Vaccinate COVID 19 according to nat l recs B Flu annually A 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
By rray, 7 April, 2023 If smoker cessation tx A using 1 first line tx nicotine gum lozenge inhaler spray patch or meds bupropion nortriptyline use drugs along w intervention program counsel3 at every visit Efficacy of e cig as cessation aid controversial
By rray, 7 April, 2023 Eval response If benefit is documented continue otherwise stop or try alternative BD class De escalate tx when appropriate Check inhaler technique every visit
By rray, 7 April, 2023 Start long or short acting BD1 long acting preferred unless SOB is only occasional A o LAMA options aclidinium glycopyrrolate revefenacin tiotropium DPI MDI umeclidinium o LABA options arformoterol formoterol olodaterol salmeterol o SAMA ipratropium MDI N
By rray, 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 rray, 7 April, 2023 If smoker cessation tx A using 1 first line tx nicotine gum lozenge inhaler spray patch or meds bupropion nortriptyline use drugs along w intervention program counsel3 at every visit Efficacy of e cig as cessation aid controversial