58024

58024



Figurę 5.1


COLO rccommcndacions on thorapy for paticncs with COPD of varying stages of severity

Stagc

(2003 upd.itc)

0

At risk

1

Młld

"

Modorate

III

Sovcrc

IV

Vory *©vorc

Prc-bronchodilator

FEV,

Normal

>80%

50 80%

30 50%

<30%

(% prcdicted)

•    Avołdanco of risk factors SMOKING CESSATION

•    Influenza vaccination

Shoct-acting bronchodilator if nccdcd

•    Add regular treatment with one or morę long-acting bronchodilators. including tiotroplum

•    Pulmonary rehabilitation

Add regular treatment with inhalcd corticostcroids if ropeated cxaccrbations

•    Long-term oxygen thorapy (LTOT) W respiratory failure

•    Consider surgical opt»om


Bascd on GOLD global strategy (2003)

For clinlcal deflnition* of stages. refor to Fłguros 1.3 and 3.15


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