What you need to know

  • The interventions of highest value for people with chronic obstructive pulmonary disease (COPD) are treatment and support to stop smoking, pulmonary rehabilitation in patients limited by breathlessness, and flu vaccination

  • Choice of initial long acting inhaled therapies depends on the presence or absence of asthmatic features/features which suggest steroid responsiveness

  • Self management plans improve quality of life and reduce hospital admissions

  • Treatment for acute exacerbations of COPD, including rescue packs for patients to use for self management, should be for five days only

  • Only prescribe home oxygen for people who are hypoxic and do not smoke currently

Credit: iStock, sdominick

Read more at BMJ…