Chronic obstructive pulmonary disease (COPD) usually describes a mixture of chronic bronchitis and emphysema. It is characterized by airflow limitation that is not fully reversible, ...
Discuss patient’s use of tobacco and cannabis.
Consider indoor pollution (coal furnace) (4).
Review possible causes of exacerbation (e.g., recent infection) and history of cough, sputum...
Smoking cessation: This is the most important intervention to decrease risk (1,2)[A].
Aggressive treatment of infections (3)[B]
Treat any reversible bronchospasm.
Home oxygen: m...
May taper or stop oral steroids as outpatient
If pneumonia caused exacerbation, need to follow CXR or chest CT until clear or stable
Pulmonary rehabilitation for ex...
J44.9 Chronic obstructive pulmonary disease, unspecified
J43.9 Emphysema, unspecified
J42 Unspecified chronic bronchitis
E84.0 Cystic fibrosis with pulmonary manifestations
Consider screening PFTs on any high-risk patient.
Overnight oximetry if daytime SaO2 is borderline.
Influenza/pneumococcal vaccines should be current.
Advance directive before patient is ...
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