Gold Standard Copd Treatment Chart printable pdf download

Gold Standard Copd Treatment Chart

Gold Standard COPD Treatment Chart

At Risk

Mild

Moderate

Severe

Very Severe

Chronic symptoms

FEV1/FVC < 70%

Exposure to risk

FEV1 > 80% pred.

FEV1 50-80% pred.

FEV1 30-50% pred.

FEV1 < 30% pred.

factors

With or without

Normal spirometry

symptoms

Avoid risk factors, annual influenza vaccination, pneumococcal vaccine q 5 years

Add

short acting bronchodilator (or combination bronchodilators) PRN

Add

regular treatment with one or more LABA (long acting

bronchodilators)

Add

pulmonary rehabilitation (improved exercise tolerance and

disease management, quality of life)

Add

ICS (inhaled corticosteroids or combination

with LABA) when FEV1 < 60% predicted to improve

symptoms, lung function and quality of life, reduce

frequency of exacerbations

Add

phospodiesterase-4 inhibitor

(PDE-4) Daliresp, reduces

exacerbations treated with oral steroids

Add

long term O2 if chronic respiratory

failure or severe hypoxemia to keep

SaO2 88-92%

Consider surgical treatment

Adapted from Global Initiative for COPD Executive Summary 2013

Gold Standard Copd Treatment Chart