Treatments for Bronchiolitis obliterans with obstructive pulmonary disease
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Chronic obstructive pulmonary disease:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment is designed to relieve symptoms and prevent complications. Because most patients with COPD receive outpatient treatment, they need comprehensive teaching to help them comply with therapy and understand the nature of this chronic, progressive disease. If programs in pulmonary rehabilitation are available, encourage patients to enroll.
Urge the patient to stop smoking. Provide smoking cessation counseling or refer him to a program. Avoid other respiratory irritants, such as secondhand smoke, aerosol spray products, and outdoor air pollution. An air conditioner with an air filter in his home may be helpful.
The patient is usually treated with beta-agonist bronchodilators (albuterol or salmeterol), anticholinergic bronchodilators (ipratropium), and corticosteroids (beclomethasone or triamcinolone). These are usually given by metered-dose inhaler, requiring that the patient be taught the correct administration technique.
Antibiotics are used to treat respiratory infections. Stress the need to complete the prescribed course of antibiotic therapy.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Chronic obstructive pulmonary disease:
Treatment
(Handbook of Diseases)
The main goal of treatment is to relieve symptoms and prevent complications. Bronchodilators can help alleviate bronchospasm and enhance mucociliary clearance of secretions. Effective coughing, postural drainage, and chest physiotherapy can help mobilize secretions.
Administration of low concentrations of oxygen helps relieve symptoms; arterial blood gas analysis determines oxygen need and helps avoid carbon dioxide narcosis.
Antibiotics help treat respiratory tract infections. Pneumococcal vaccination and annual influenza vaccinations are important preventive measures.
Some patients benefit from inhaled corticosteroids as maintenance therapy. Oral corticosteroids are occasionally needed for acute exacerbations.
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Source: Handbook of Diseases, 2003
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