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Dyspnoea “ladder” in COPD

-Conventional management with

bronchodilatators/steroids.

-Manage co-morbidities

-

Nonpharmacological

treatments

support /exercise / chest wall vibration / fan,..

Supplemental

oxygen

if hypoxic

/

consider ambulatory oxygen if desaturation with exercise

opioid therapy

for dyspoea

+/- anxiolytics

~

physiotherapy