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COPD Action Plan

Table of Contents


Topic Overview

It's important that you know how to treat your COPD. This is true for everyday care and for when your symptoms get worse.

It's also very important that your family, friends, and caregivers know what to do. If you can't care for yourself in an emergency, others need to know how they can help you.

Your COPD action plan

My name: ___________________________________

Address: ____________________________________

Phone: _____________________________________

Date plan was written: _________________________

Emergency contact information

My doctor's or clinic's name: _______________________

Address: ______________________________________

Phone: _______________________________________

Name of person to call in an emergency: _______________________________

Phone: ______________________________________

How to manage your symptoms
If I have these symptoms: I need this medicine (type and name): I take this much, up to this maximum dose:
  • Symptom:
  • Type:
  • Name:
  • Normal dose:
  • Max. dose:
  • Symptom:
  • Type:
  • Name:
  • Normal dose:
  • Max. dose:
  • Symptom:
  • Type:
  • Name:
  • Normal dose:
  • Max. dose:
  • Symptom:
  • Type:
  • Name:
  • Normal dose:
  • Max. dose:
  • Symptom:
  • Type:
  • Name:
  • Normal dose:
  • Max. dose:
  • Symptom:
  • Type:
  • Name:
  • Normal dose:
  • Max. dose:

When to call your doctor

COPD can cause serious problems with breathing, so it's important to know when to get help. Quick treatment may help keep you out of the hospital.

Call 911 anytime you think you may need emergency care. For example, call if:

Call your doctor now or seek immediate medical care if:

Watch closely for changes in your health, and be sure to contact your doctor if:


Credits for COPD Action Plan

Current as of: July 6, 2021

Author: Healthwise Staff
Medical Review:
Martin J. Gabica MD - Family Medicine
Adam Husney MD - Family Medicine
Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine


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