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family _COPD (chronic (more than 3 weeks) (respiratory (pneumonia,…
family _COPD
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COPD GOLD Grade A: Any bronchodilator (short or long acting), titrating or switching to another as appropriate.
COPD GOLD Grade B: A long acting bronchodilator (LAMA or LABA), and both if symptoms persist on one drug.
COPD GOLD Grade C: A long acting muscarinic antagonist (LAMA), switching to LAMA+LABA or to LABA+ICS if further exacerbations occur.
COPD GOLD Grade D: More complicated, requires individual management, often multiple drugs, consideration of roflumilast and azithromycin in selected patients.
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follow-up
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symptoms, inhaler technique
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education
x smoking, x irritants, diet exercise
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refer
occupational therapist
breathing exercises, diet exercise
physiotherapist
chest physiotherapy, postural sputum drainage
nurse
drug usage, inhaler technique
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acute cough
respiratory tract infection (URTI, pneumonia, COPD exacerbation)
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