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Contents
- C1. Aetiology and natural history
- C2. Diagnosis
- C3. Assessing the severity of COPD
- C4. Assessing acute response to bronchodilators
- C5. Specialist referral
- C5.1 Complex lung function tests
- C5.2 Exercise testing
- C5.3 Sleep studies
- C5.4 Chest x-rays
- C5.5 High resolution computed tomography
- C5.6 Ventilation and perfusion scans
- C5.7 Transcutaneous oxygen saturation
- C5.8 Arterial blood gas measurement
- C5.9 Sputum examination
- C5.10 Haematology and biochemistry
- C5.11 Electrocardiography and echocardiography
- C5.12 Trials of Therapy
- O1. Inhaled bronchodilators
- O1.1.1 Short-acting beta-agonists
- O1.1.2 Short-acting anticholinergics
- O1.1.3 Short-acting bronchodilator combinations
- O1.2 Long-acting bronchodilators
- O1.2.1 Long-acting anticholinergics
- O1.2.2 Long-acting beta-agonists
- O1.2.3 Long-acting bronchodilator combinations
- O1.3 Assessment of response and continuation of bronchodilator therapy
- O2. Oral bronchodilators
- O3. Glucocorticoids
- O4. Inhaled combination therapy
- O5. Inhaler technique
- O6. Non-pharmacological interventions
- O7. Co-morbidities & drug safety
- O8. Hypoxaemia and pulmonary hypertension
- O9. Surgery
- O10. Palliation and end of life issues
- D1. Support team
- D1.1 General Practitioner
- D1.2 Other specialist physicians
- D1.3 GP practice nurse/ nurse practitioner/ respiratory educator/ respiratory nurse
- D1.4 Physiotherapist
- D1.5 Occupational therapist
- D1.6 Social worker
- D1.7 Clinical psychologist/psychiatrist
- D1.8 Speech pathologist/therapist
- D1.9 Pharmacist
- D1.10 Dietitian/Nutritionist
- D1.11 Non-medical care agencies
- D2. Multidisciplinary care plans
- D3. Self-management
- D4. Treat anxiety and depression
- D5. Referral to a support group
- D6. End-of-life issues
- X1. Home management
- X2. COPD acute exacerbation plan
- X3. Refer appropriately to prevent further deterioration (‘P’)
- X3.1 Controlled oxygen delivery
- X3.2 Non-invasive positive pressure ventilation
- X3.3 Invasive ventilation (intubation)
- X3.4 Clearance of secretions
- X3.5 Develop post-discharge plan and follow-up
- X3.6 Pulmonary rehabilitation
- X3.7 Discharge planning
- X3.8 Support after discharge
- X3.9 Clinical review and follow-up
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COPD-X Plan - Version 2.22 - May 2010
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