Managing COPD (Treatment Guidelines)

A person is considered to have stable COPD when their symptoms stay more or less the same on a day-to-day basis. Some days may be better or worse than others, but their disease is under control for the most part. Those who are having a COPD flare-up do not have stable disease, but they may have stable disease again after the flare-up has been treated.

Guidelines for managing stable disease have two goals: reducing symptoms and reducing risk of flare-ups. The goals for managing stable disease include:

Relieving everyday symptoms
Increasing the patient’s ability to exercise
Improving the patient’s overall health
Slowing the progress of the disease as much as possible
Preventing and treating COPD flare-ups
Reducing the risk of serious and/or life-threatening complications1
Medications play a large role in the management of stable COPD. People with COPD will often have maintenance medicines that they take every day to help relieve their daily symptoms. They usually have rescue medicines as well, which are on hand to help relieve symptoms that suddenly get worse. Some people also need regular oxygen therapy to help manage their stable COPD.1

People with COPD are strongly encouraged to take part in a pulmonary rehabilitation program to help them manage their stable disease. During these programs, patients learn about many different ways to help control their symptoms, such as:

Nutritional advice
Lifestyle changes to help avoid infections
Breathing strategies
Preparing for emergencies


History Facts - World War I

  1. World War I, also known as The Great War, started on June 28, 1914. A Serbian terrorist murdered Archduke Franz Ferdinand, the heir to the Austro-Hungarian throne, and his wife. Austria-Hungary responded by declaring war on Serbia.
  2. The first country to use gas against their enemies was France, not Germany. They fired the first series of tear gas grenades (xylyl bromide) against the Germans in August 1914. Germany then first used tear gas in January of the following year, against the Russian armies.
  3. Due to the war, all German-language books were burned in the United States. Schools banned the teaching of German, and some German-derived words that had been in common use were modified as well.
  4. During World War I the term "dogfight" was born. To avoid planes stalling when they would turn quickly in the air, pilots had to turn the engines on and off every so often. The vibration sounded a lot like dogs barking, hence the term.
  5. During the war, Herbert Hoover was appointed to be the United States Food Administrator. His primary responsibility was to provide food and sustenance to the US Army and its allies. He convinced US citizens to plant gardens in their backyards, dubbing them "victory gardens.
  6. An estimated 30 different poisonous gases were used throughout the war. Soldiers were ordered to put rags soaked in urine over their faces to protect them from the fatal effects of these gases.

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