Preventive Care

a. Immunization. Pneumococcal vaccination every six years, and yearly influenza vaccinations should be provided.

b. Influenza therapy should be considered when unimmunized patients are at high risk for contracting influenza or there is inadequate time for immunization. Amantadine (Symmetrel) 100 mg PO bid (qd if >65 years old). Rimantadine (Flumadine) 100 mg PO bid (qd if >65 years old).

B. Hypoxemia. Hypoxemia adversely affects function and increases risk of death, and oxygen therapy is the only treatment documented to improve survival in patients with COPD. Oxygen is usually delivered by nasal cannula at a flow rate sufficient to maintain an optimal oxygen saturation level.

References: See page 195.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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