Module 01: Respiratory Problems (Assessment)
A 71-year-old man with chronic obstructive pulmonary disease presents for initial evaluation following his diagnosis. He has quit smoking and is participating in a pulmonary rehabilitation program. He uses inhaled tiotropium daily. Spirometry shows an FEV1/FVC = 0.5 (50%). Arterial blood gas was notable for a Pa02 = 45 mmHg with a PaCO2 = 50mmHg. Which of the following interventions will have a mortality benefit in this patient?
A.Inhaled beta2-agonists
B.Long-term oxygen therapy
C.Theophylline
D.Systemic corticosteroids
E.Inhaled corticosteroids
A 71-year-old man with chronic obstructive pulmonary disease presents for initial evaluation following his diagnosis. He has quit smoking and is participating in a pulmonary rehabilitation program. He uses inhaled tiotropium daily. Spirometry shows an FEV1/FVC = 0.5 (50%). Arterial blood gas was notable for a Pa02 = 45 mmHg with a PaCO2 = 50mmHg. Which of the following interventions will have a mortality benefit in this patient?
A.Inhaled beta2-agonists
B.Long-term oxygen therapy
C.Theophylline
D.Systemic corticosteroids
E.Inhaled corticosteroids