Treatment and Management

Diagnosis

1. History, physical examination 
2. Radiological examination chest X-ray 
3. Sputum studies, CIS, smear, 
4. ABG analysis-resting PaO, low, elevated PaCO,. during exercises PaCo, increase. 
5. Complete blood Picture, 
6. DFI 

Medical Therapy

1. Symptomatic treatment 
2. Supportive measures 
3. Educate patient and family. 
4. No smoking, avoid other inhaled irritants 
5. Keep away from people with URI 
6. Control environmental temperature and humidity 
7. Good nutrition, 
8. Proper ventilation 

Specific Therapy

1. Bronchodilators-Terbutaline, Aminophylline, Theophylline, Adrenaline, Isoproternol 
2. Antimicrobial or antibiotics 
3. Corticosteroids in acute symptoms 
4. Digitalis in heart failure. 
5. Cough expectorant 

Respiratory Therapy

1. Aerosol therapy: bronchodialator through metered hand-held nebulisers 0, therapy 1-2 L. of 0, by nasal prong. 

Relaxation Exercises

1. Meditation 
2. Breathing Exercises 
3. Respiratory muscle rehabilitation