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
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 counsel3 every visit Efficacy of e cig as cessation aid controversial
By vgreene, 4 March, 2019 Eval response: If sx benefit, continue; otherwise, stop or try alternative BD class. De-escalate tx when appropriate. ✓inhaler technique every visit
By vgreene, 4 March, 2019 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 albuterol levalbuterol