By vgreene, 7 April, 2023 Exclude Patient Type Detail Header No Detail Type Text Detail Text If hypoxemic per O2 sat ABG 2 Assess for long term O2 tx2 Ventilation Consider NPPV in select pts eg if persistent daytime hypercapnia 3 Pulmonary rehab4 recommended A Encourage physical activity No demonstrated benefit for integrative care or telehealth B Surgery Procedures If severe dz consider procedural interventions5 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 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 If environment risks Efficient ventilation nonpolluting cooking stoves etc B avoidance of irritants if possible D Create written COPD exac action plan w educational component maintain regular clinician contact Check spirometry q1y7 Eval and treat comorbidities CV etc8 Consider shielding measures eg masking social distancing handwashing to prevent exac in winter months Follow COVID 19 mitigation strategies9 and test for SARS CoV 2 if warranted eg new or worsening resp sx fever loss of taste and or smell 10 Patient Type Detail Header (Long) Assess for additional interventions; mitigate risks: