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================================= 
# Allergic rhinitis
================================== 
@@@

- intranasal :: fluticasone daily
- anti-histamine :: loratidine 10 mg daily
- LTRA :: montelukast 10 mg daily 


================
# Asthma, @@@
================
@@@

- PFTs :: @@@

- inhaler, controller :: @@@
- inhaler, reliever :: albuterol MDI
- steroids :: @@@
- biologics :: @@@


================
# Asthma, @@@
================
@@@

- PFTs :: @@@

- inhaler, controller :: @@@
- inhaler, reliever :: albuterol MDI
- steroids :: @@@
- biologics :: @@@

================
# COPD, GOLD @@@
================
@@@

- PFTs :: @@@

- inhaler, controller :: @@@
- inhaler, reliever :: albuterol MDI
- steroids :: @@@
- PDE4 :: not indicated

================================= 
# Gastroesophageal Reflux Disease
================================= 
@@@

- H2R :: @@@
- PPI :: @@@
- H pylori status :: @@@


================================
# Immunodeficiency due to medications
# Long term (current) use of immunosuppression
# Drug Therapy Requiring Intensive Monitoring for Toxicity
================================
@@@

Diagnostics
  - labs :: @@@
  - imaging :: @@@
  - PFTs :: @@
  - EKG @@@
Interventions
  - steroids :: @@@
  - non-steroidals :: @@@


================================
# Pulmonary Sarcoidosis, stage @@@
================================
@@@

Diagnostics
  - annual eye exams
  - DEXA :: @@@
  - labs :: vitamin D 1,25; LFTs; BMP
  - imaging :: @@@
  - PFTs :: @@
  - EKG @@@
Interventions
  - steroids :: @@@
  - non-steroidals :: @@@

===========================
# Tobacco use disorder, @@@
# History of @@@ pack years
===========================
@@@

- lung cancer screening :: see below
- vaccines :: see below
- nictoine replacement :: @@@


================================
# Immunodeficiency due to medications
# Long term (current) use of immunosuppression
# Drug Therapy Requiring Intensive Monitoring for Toxicity
================================
@@@

Diagnostics
  - labs :: @@@
  - imaging :: @@@
  - PFTs :: @@
  - EKG @@@
Interventions
  - steroids :: @@@
  - non-steroidals :: @@@

===========================
# Pulmonary Healthcare Maintenance
===========================
@@@

Tobacco related
  - lung cancer screening :: 
  - AAA screen :: 
Immunizations
  - pneumococcal :: 
  - influenza :: 
  - SARS-COV-2 ::
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