By vgreene, 14 February, 2017 Exclude Patient Type Detail Header No Detail Type Text Detail Text If smoker, cessation tx [A] using ≥1 first-line tx:1 Nicotine gum/inhaler/spray/patch or meds (bupropion SR, varenicline); use drugs along w/ intervention program; counsel3 @ every visit. Efficacy of e-cig as cessation aid uncertain If environment risks: Reduce occupational dust/fume/gas and indoor [B]/outdoor pollutant exposure Vaccinate: flu [B]. If ≥65 yo: pneumococcal (both PCV13 and PPSV23) [B]; PPSV23 also recommended in pts Encourage physical activity; ensure adequate sleep, healthy diet ✓Spirometry ≥q1y Eval/tx comorbidities (CV, etc4) Patient Type Detail Header (Long) Mitigate risks