By rray, 22 February, 2024 Exclude Patient Type Detail Header No Detail Type Text Detail Text Smoking cessation A Prescribe 1 first line tx varenicline nortriptyline bupropion SR nicotine gum lozenge inhaler spray patch use drugs along w intervention program counsel1 at every visit No evidence to support use of e cigs as cessation aid Vaccinate COVID 19 according to nat l recs B Flu annually B 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 RSV vaccine A 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 Encourage physical activity ensure adequate sleep healthy diet Check spirometry q1y Evaluate and treat comorbidities CVD skeletal muscle dysfxn metabolic syndrome osteoporosis depression anxiety lung CA Screen all pts once for AATD Consider shielding measures e g masking social distancing handwashing to prevent exac in winter months Follow COVID 19 mitigation strategies and test for SARS CoV 2 if warranted e g new or worsening resp sx fever loss of taste and or smell If SARS CoV 2 pos continue usual COPD meds Patient Type Detail Header (Long) <b>Mitigate risks</b>