By vgreene, 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 vgreene, 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 counsel6 at every visit Efficacy of e cig as cessation aid controversial
By vgreene, 7 April, 2023 Pulmonary rehab4 recommended A Encourage physical activity No demonstrated benefit for integrative care or telehealth B
By vgreene, 7 April, 2023 Ventilation Consider NPPV in select pts eg if persistent daytime hypercapnia 3
By vgreene, 7 April, 2023 Eval response escalate and de escalate as needed Check inhaler technique every visit
By vgreene, 7 April, 2023 Continue short acting BD for sx rescue SAMA ipratropium MDI NEB SABA albuterol levalbuterol MDI NEB for all pts
By vgreene, 7 April, 2023 If on single LABA or LAMA Use LAMA LABA combo1 o LAMA LABA combo options aclidinium formoterol glycopyrrolate formoterol tiotropium olodaterol umeclidinium vilanterol