By vgreene, 4 March, 2019 Pulmonary rehab5 recommended Encourage physical activity No demonstrated benefit for integrative care or telehealth B
By vgreene, 4 March, 2019 Ventilation: Consider NPPV in select pts (eg, if persistent daytime hypercapnea)4
By vgreene, 4 March, 2019 Eval response: De-escalate tx when appropriate. ✓inhaler technique every visit
By vgreene, 4 March, 2019 Add short acting BD for sx rescue SAMA ipratropium SABA albuterol levalbuterol
By vgreene, 4 March, 2019 Start long acting BD LAMA alone aclidinium glycopyrronium tiotropium umeclidinium or if highly symptomatic then LAMA LABA combo1 aclidinium formoterol glycopyrronium formoterol tiotropium olodaterol umeclidinium vilanterol If eos 300 uL consider initial t
By vgreene, 4 March, 2019 Vaccinate COVID 19 according to nat l recs B Flu annually A Tdap if not prev received B Zoster if 50 yo B If 65 yo both pneumococcal vax PCV13 PPSV23 B If