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Annals of Internal Medicine clinical Guidelines Diagnosis and heed of lasting Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline from the American College of Physicians Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD; capital of Minnesota Shekelle, MD, PhD; Katherine Sherif, MD; Timothy J. Wilt, MD, MPH; Steven Weinberger, MD; and Douglas K. Owens, MD, MS, for the Clinical efficaciousness Assessment Subcommittee of the American College of Physicians* passport 1: In patients with respiratory symptoms, particularly dyspnea, spirometry should be performed to diagnose air flow thwarter. Spirometry should not be used to screen for airflow obstruction in well individuals. (Grade: strong recommendation, moderate-quality evidence.) passport 2: discourse for stable chronic obstructive pulmonary disease (COPD) should be reserved for patients who take over respiratory symptoms and FEV1 less(prenominal) than 60% predicted, as documented by spirometry. (Grade: st rong recommendation, moderatequality evidence.) tribute 3: Clinicians should regularize 1 of the interest maintenance monotherapies for diagnostic patients with COPD and FEV1 less than 60% predicted: long inhaled -agonists, long-acting inhaled anticholinergics, or inhaled corticosteroids. (Grade: strong recommendation, high-quality evidence.

) Recommendation 4: Clinicians may get hold of combination inhaled therapies for symptomatic patients with COPD and FEV1 less than 60% predicted. (Grade: unaccented recommendation, moderate-quality evidence.) Recommendation 5: Clinicians should prescribe oxygen therapy in patients with COPD and resting hypoxemia (PaO2 55 mm Hg). (Grade: s! trong recommendation, moderate-quality evidence.) Recommendation 6: Clinicians should consider prescribing pulmonary reformation in symptomatic individuals with COPD who have an FEV1 less than 50% predicted. (Grade: weak recommendation, moderate-quality evidence.) Ann Intern Med. 2007;147:633-638. For indite affiliations,...If you want to get a bountiful essay, order it on our website: BestEssayCheap.com

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