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The Distribution Of Pneumococcal
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COPD Management Plan 2021
gmmmg.nhs.uk• A single dose of pneumococcal vaccine PPV23 should be administered Pulmonary rehabilitation • Patients should be referred if they have exercise limitation due to breathlessness (NICE Quality Standard, 2016). This is usually MRC 3 or greater (or mMRC≥2). • Main contraindications include uncontrolled cardiovascular disease, significant