By vgreene, 14 February, 2017 If environment risks: Reduce occupational dust/fume/gas and indoor [B]/outdoor pollutant exposure
By vgreene, 14 February, 2017 If smoker, cessation tx [A] using ≥1 first-line tx:1 Nicotine gum/inhaler/spray/patch or meds (bupropion SR, varenicline); use drugs along w/ intervention program; counsel3 @ every visit. Efficacy of e-cig as cessation aid uncertain
By vgreene, 14 February, 2017 Eval effect: If documented sx benefit, continue; otherwise, stop or try alternative BD class. ✓inhaler technique each visit
By vgreene, 14 February, 2017 Start short- or long-acting BD1 (long-acting preferred, unless SOB is only occasional): SAMA/LAMA (ipratropium / aclidinium, tiotropium, umeclidinium) or SABA/LABA (albuterol, levalbuterol / arformoterol, formoterol, indacaterol, olodaterol, salmeterol)
