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:3 Nicotine gum/inhaler/spray/patch or meds (bupropion SR, varenicline); use drugs along w/ intervention program; counsel9 @ every visit. Efficacy of e-cig as cessation aid uncertain Avoid aggravating factors. If environment risks: Reduce occupational dust/fume/gas and indoor/outdoor pollutant exposure [B] Vaccinate: flu [B]. If ≥65 yo: pneumococcal (both PCV13 and PPSV23) [B]; PPSV23 also recommended in pts Create written COPD exac action plan w/ ed component; maintain regular contact w/ clinicians ✓Spirometry ≥q1y Eval/tx comorbidities (CV, etc10) Patient Type Detail Header (Long) Mitigate risks