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COPD

COPD. Review Feb. 26, 2014 Cathy Vakil. Key messages. 1) Suspect COPD - prolonged or recurrent cough, dyspnea, or decreased exercise tolerance, smoking history 2) PFTs for confirmation and to document disease progression 3) Encourage smoking cessation 4) Vaccinations. 5) Meds

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COPD

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  1. COPD Review Feb. 26, 2014 Cathy Vakil

  2. Key messages 1) Suspect COPD - prolonged or recurrent cough, dyspnea, or decreased exercise tolerance, smoking history 2) PFTs for confirmation and to document disease progression 3) Encourage smoking cessation 4) Vaccinations

  3. 5) Meds 6) Referral – respirologist, pulm. rehab. 7) Rule out co-morbidities (e.g. MI, congestive heart failure, systemic infections, anemia). 8) If end-stage COPD, discuss, document, and periodically re-evaluate wishes about aggressive treatment interventions.

  4. COPD • Treatable • Preventable • Underdiagnosed

  5. Family Physicians’ role • Early detection through targeted screening and prevention by smoking cessation counselling • Optimize symptom control through appropriate pharmacological and non-pharmacological therapy • Prevention and management of acute exacerbations

  6. Causes of COPD • Smoking • Second-hand smoke • Air pollution • Occupational - mine dust (coal, gold), cotton dust, silica and grain dust, cadmium, agriculture • Alpha 1-antritrypsin deficiency

  7. ASTHMA • Canadian Thoracic Society Asthma Management Continuum – 2010 Consensus Summary for children 6 yr and over, and adults • Canadian Pediatric Asthma Consensus Guidelines 2010 update (from 2003) – under 6 yr

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