Algorithm A6: Insomnia

Patient with COPD suffering from insomnia
Institute sleep hygiene measures [A]
Is COPD control optimized? Is SaO2 less than or equal to 90% or PaCO2 greater than or equal to 45 or FEV1 less than 50%? Initiate trial of solpidem (5mg/qhs) [B]
Box 3 no to box 7 Initiate trial of triazolam (0.125 mg/qhs) [C] Box 5 and 8 to box 6
Box 3 no to box 7 Follow up with routine care [D]
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