By switaschek, 19 March, 2020 Vaccinate: flu [B]. If ≥65 yo: both pneumococcal vax: PCV13 + PPSV23 [B]. If
By switaschek, 19 March, 2020 If smoker, cessation tx [A] using ≥1 first-line tx:1 Nicotine gum/lozenge/inhaler/spray/patch or meds (bupropion SR, nortriptyline, varenicline); use drugs along w/ intervention program; counsel3 @ every visit. Efficacy of e-cig as cessation aid controver
By switaschek, 19 March, 2020 Eval response: If sx benefit, continue; otherwise, stop or try alternative BD class. De-escalate tx when appropriate. ✓inhaler technique every visit
By switaschek, 19 March, 2020 Start long- or short-acting BD1 (long-acting preferred unless SOB is only occasional [A]): LAMA (aclidinium, glycopyrronium, tiotropium, umeclidinium); LABA (arformoterol, formoterol, indacaterol, olodaterol, salmeterol); SAMA (ipratropium), SABA (albuter
By vgreene, 19 March, 2020 Upcoming: Chloroquine Prevention of Coronavirus Disease (COVID-19) in the Healthcare Setting (COPCOV)
By vgreene, 19 March, 2020 Randomized to chloroquine (loading dose, 10 mg base/kg, followed by 150 mg daily) or placebo x3mo, or until COVID-19 dx