ANNOTATIONS

Module A:

1. Patient with Suspected or Confirmed COPD Presents to Primary Care
2. Clinical Assessment
3. Further Investigation to Exclude Other Diagnoses
4. Prevention and Risk Reduction
5. Pharmacotherapy Including Bronchodilators and Inhaled Glucocorticoids
6. Supplemental and Long-Term Oxygen Therapy
7. Pulmonary Rehabilitation
8. Other Interventions
9. Evaluate and Provide Appropriate Treatment for Cardiovascular Disease
10. Evaluate and Provide Appropriate Treatment for Depression or Anxiety
11. Evaluate and Provide Appropriate Treatment for Nutrition
12. Evaluate and Provide Appropriate Treatment for Sleep Disorders
13. Special Considerations for a Patient in Need of Surgery
14. Special Considerations for a Patient Planning to Travel at High Altitude
15. Continue Follow-up and Monitoring
    

Module B:

16. Patient with Acute Exacerbation of COPD Presenting to Primary Care
17. Are there Indications for Referral to the Emergency Department?
18. Arrange for Transfer to the Hospital
19. Management of Exacerbation in the Emergency Department
20. Obtain Medical History, Physical Examination, and Laboratory Tests to Assess Severity, Rule Out Alternatives, and Confirm Diagnoses
21. Initiate Drug Therapy with Bronchodilators
22. Is there Evidence of Respiratory Infection?
23. Consider Oral Glucocorticoid Treatment
24. Arrange for Follow-Up if Needed

 

Module C:

I. Bronchodilators

Short-Acting Bronchodilators

Long-Acting Inhaled Beta 2-Agonists

Long-Acting Inhaled Anticholinergics

II. Combination of Inhaled Bronchodilators

III. Inhaled Glucocorticoids

IV. Theophylline