Question: Case Exemplar: Patient With Chronic Obstructive Pulmonary Disease TS, previously diagnosed with Stage 1 COPD, is a 48-year-old Caucasian, Non-Hispanic male who presents to your

Case Exemplar: Patient With Chronic Obstructive Pulmonary Disease

TS, previously diagnosed with Stage 1 COPD, is a 48-year-old Caucasian, Non-Hispanic male who presents to your primary care office with complaints of progressive shortness of breath.

Past Medical History

Previous diagnosis of Stage 1 COPD

Physical Examination

Height: 70 inches; weight: 255 lb

Social History

Smokes half a pack of cigarettes per day

Prior attempts at smoking cessation unsuccessful

Labs and Imaging

Forced expiratory volume (FEV1): 49% of normal

GOLD staging: Stage 3 COPD (severe)

Pulse Oximetry: SaO₂ 86%

Arterial blood gas: arterial oxygen levels of 50 mmHg

Discussion Questions

Is continuous oxygen therapy indicated for TS?

What methods of oxygen administration are available for TS? What are the advantages and disadvantages of all available methods?

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