Mild COPD: Initial Steps Common questions asked by primary care practitioners

Mild COPD: Initial Steps Common questions asked by primary care practitioners

COPD is a clinical diagnosis confirmed by spirometric evidence of airflow limitation that is not fully reversible. Early detection of COPD allows early
intervention. Treatment of COPD is based on severity of symptoms, airflow obstruction and presence or absence of exacerbations. All smokers
should be assisted to quit smoking. All patients with COPD should be vaccinated against influenza. First-line pharmacotherapy for recently
diagnosed mild COPD is a short-acting bronchodilator on an as-needed basis. If symptoms persist or worsen, a long-acting bronchodilator may be
added as maintenance therapy. Long-acting bronchodilators have been shown to improve symptoms, help extend exercise tolerance and prevent
exacerbations.

Modern Medicine – August 2017