{"id":628,"date":"2015-09-13T19:38:05","date_gmt":"2015-09-13T19:38:05","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=628"},"modified":"2015-09-13T19:38:05","modified_gmt":"2015-09-13T19:38:05","slug":"outpatient-curriculum-copd","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=628","title":{"rendered":"Outpatient Curriculum &#8211; COPD"},"content":{"rendered":"<div>You have a 58 yo male patient who is evaluated because of worsening dyspnea, chronic productive cough, and increasing sputum production.<\/div>\n<div>He has a 30 pack-year smoking history. Spirometry shows a FEV1\/FVC ratio &lt;0.7. FEV1 is 60% of predicted. He enjoys daily walks with his neighbors, but has to walk slower than others because of breathlessness. He occasionally has to stop for breath when walking at his own pace. He has not been hospitalized for COPD exacerbations during the past 1 year.<\/div>\n<div><\/div>\n<div>1) What is the most appropriate classification of the severity of this patient\u2019s airflow limitation?<\/div>\n<div>\n<div>2) What is this patient&#8217;s degree of breathlessness based on the modified Medical Research Council Dyspnea Scale (mMRC)?<\/div>\n<div>3) Based on the combined assessment of airflow limitation, level of symptoms, and exacerbation risk, in which GOLD patient group does this patient belong?<\/div>\n<div>4) What medications are indicated for initial treatment? What are alternative regimens? What nonpharmacologic treatments are recommended?<\/div>\n<div><\/div>\n<div>Refer to <a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2015\/09\/GOLD-AJRCCM-2013.pdf\">GOLD AJRCCM 2013<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>You have a 58 yo male patient who is evaluated because of worsening dyspnea, chronic productive cough, and increasing sputum production. He has a 30 pack-year smoking history. Spirometry shows a FEV1\/FVC ratio &lt;0.7. FEV1 is 60% of predicted. He enjoys daily walks with his neighbors, but has to walk slower than others because of [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-628","post","type-post","status-publish","format-standard","hentry","category-curriculum"],"modified_by":"Geneva Tatem","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/628","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=628"}],"version-history":[{"count":3,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/628\/revisions"}],"predecessor-version":[{"id":632,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/628\/revisions\/632"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}