By vgreene, 7 April, 2023 Long acting inhaled BD combo 1 consider additional interventions in select pts for COPD Group B2 pts
By vgreene, 7 April, 2023 Pulmonary rehab7 recommended A Encourage physical activity No demonstrated benefit for integrative care or telehealth B
By vgreene, 7 April, 2023 Consider for select pts If hypoxemic per O2 sat ABG 3 assess for long term O2 tx 3 For select pts consider noninvasive ventilation 4 procedural interventions5 6
By vgreene, 7 April, 2023 Eval response De escalate tx when appropriate Check inhaler technique every visit
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 Start LABA LAMA 1 o LABA options arformoterol formoterol olodaterol salmeterol o LAMA options aclidinium glycopyrrolate revefenacin tiotropium DPI MDI umeclidinium o LAMA LABA combo options aclidinium formoterol glycopyrrolate formoterol tiotropium olodat
By vgreene, 7 April, 2023 SOB only w strenuous exercise hurrying at level walking uphill mMRC 0 1 or CAT
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