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Better Living with COPD - Australian Lung Foundation

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<strong>Better</strong> <strong>Living</strong> <strong>with</strong> Chronic Obstructive Pulmonary Disease A Patient Guide<br />

chapter<br />

Preventing and managing a fl are up<br />

This chapter will help you to understand:<br />

What an exacerbation or fl are up is.<br />

How to monitor your symptoms and avoid having a fl are up.<br />

What to do when you become sick.<br />

How to develop and use a written <strong>COPD</strong> Action Plan to manage a fl are up.<br />

What is an exacerbation or fl are up?<br />

All people <strong>with</strong> chronic obstructive pulmonary disease<br />

(<strong>COPD</strong>) are at risk of having an exacerbation or<br />

fl are up.<br />

A fl are up is what happens when your <strong>COPD</strong> gets<br />

worse. Flare ups can become serious and you may<br />

even need to go to hospital. It is important for you to<br />

understand how to avoid having a fl are up, what the<br />

signs and symptoms of a fl are up are, and how you<br />

can minimise their impact.<br />

Some of the typical signs and symptoms of a fl are<br />

up are one or more of the following:<br />

More wheezy or breathless than usual.<br />

More coughing.<br />

More sputum than usual.<br />

A change of colour in your sputum.<br />

Loss of appetite or sleep.<br />

Less energy for your usual activities.<br />

Taking more of your reliever medication<br />

than normal.<br />

<strong>COPD</strong> Action Plans aim to help you recognise<br />

a fl are up earlier and provide instructions on<br />

how to act to reduce the severity and duration<br />

of your illness.<br />

How can you monitor your symptoms<br />

and avoid having a fl are up?<br />

There are several possible triggers that can cause a<br />

fl are up. Some people are particularly susceptible to<br />

certain ones. These triggers include:<br />

Respiratory infections, such as a cold or the fl u.<br />

Smoke.<br />

Pollutants such as dust, wood smoke or smog.<br />

Other unknown causes account for about one<br />

third of all fl are ups.<br />

There are things you can do to avoid getting a fl are up:<br />

Develop a written <strong>COPD</strong> Action Plan <strong>with</strong> your<br />

doctor and know how to use it (see page 38).<br />

Learn what the triggers are that make your<br />

<strong>COPD</strong> worse and how to avoid them.<br />

• Stay inside on particularly cold or hot days<br />

if possible.<br />

• Avoid second hand smoke.<br />

• Avoid strong cleaning products or<br />

strong perfume.<br />

Make sure you get the fl u vaccination<br />

every autumn.<br />

Make sure that you are vaccinated to protect<br />

you from pneumonia (see page 93 for details).<br />

Take your medications regularly and as<br />

prescribed by your doctor.<br />

©The State of Queensland (Queensland Health) and The <strong>Australian</strong> <strong>Lung</strong> <strong>Foundation</strong> 2012<br />

9<br />

36

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