By vgreene, 4 March, 2019 If environment risks Reduce occupational dust fume gas and indoor outdoor pollutant exposure B
By vgreene, 4 March, 2019 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 counsel8 every visit Efficacy of e cig as cessation aid uncertain
By vgreene, 4 March, 2019 Pulmonary rehab7 recommended Encourage physical activity No demonstrated benefit for integrative care or telehealth B
By vgreene, 4 March, 2019 Consider for select pts If hypoxemic per O2 sat ABG 3 assess for long term O2 tx 3 For select pts consider noninvasive ventilation 4 procedural interventions5 6
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:1 either LAMA (aclidinium, glycopyrronium, tiotropium, umeclidinium) or LABA (arfomoterol, formoterol, indacaterol, olodaterol, salmeterol). If severe SOB, consider starting LAMA+LABA combo1
By vgreene, 4 March, 2019 Long acting inhaled BD 1 consider additional interventions in select pts for COPD Group B2 pts