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Topic: Psychology
Number of pages / Number of words: 2 / 461
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Should Mild, Moderate and Severe COPD patients be treated differently with regards to steroid therapy?

A. The same considerations apply to all patients with COPD, irrespective of the severity of airway obstruction.


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A. If you have a strong suspicion that your patient has COPD rather than asthma (smoking history, progressive shortness of

breath), then you should slowly reduce the dose of inhaled steroids (over several months - e.g. 25% reduction every 2-3 months). In most patients with COPD you will be able to withdraw the inhaled steroid completely, without any increase in symptoms or change in lung function...


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