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
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 environment risks Efficient ventilation nonpolluting cooking stoves etc B avoidance of irritants if possible D
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 counsel8 at every visit Efficacy of e cig as cessation aid controversial