The Global Initiative for Chronic Obstructive Lung Disease (GOLD) describes COPD in the following words: COPD is a common, preventable, and treatable disease that is characterized by...
Discuss patient’s use of tobacco and cannabis.
Consider indoor pollution and occupational exposures (5).
Symptoms: exertional dyspnea, chronic cough, sputum production
Review possible ca...
Smoking cessation: This is the most important intervention to decrease risk (2,3)[A].
Medications help reduce symptoms and exacerbations (2).
Home oxygen: may improve survival;...
May taper or stop oral steroids as outpatient
Pulmonary rehabilitation for exertional dyspnea (2)[A]
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 s...
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