05 Oct Responses to classmates must consist of at least 3
Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled. Try to use supportive information such as current Tx guidelines, current research related to the treatment, anything that will enhance learning in the online classroom. Positive COPD diagnosis is confirmed by spirometry test of lung function, FEV in 1 second and ratio to the forced vital capacity FVC is less than 70% (Woo & Robinson, 2016, p.934). The global initiative for chronic obstructive lung disease (Global Initiative for Chronic Obstructive Lung Disease [GOLD], 2019) staging system is a commonly used severity staging system based on airflow limitation. According to this, there are 4 key stages: stage I: mild, FEV1 > 80% of normal stage II: moderate, FEV1 = 50-79% of normal stage III: severe, FEV1 = 30-49% of normal stage IV: very severe, FEV1 <30% of normal or <50% of normal with presence of chronic respiratory failure present. Cost: For patients without insurance, pulmonary function tests typically cost $40-$800 total, depending on how many and which tests are ordered by a physician. For patients with medical insurance, pulmonary function tests might be covered at 80%-100%. Typically, if a doctor deems a pulmonary function test necessary, the medical insurance provider will cover it (Epocrates, 2019). The role of spirometry is assessment of severity of airflow obstruction and can lead therapeutic decisions s well as advancement or rapid decline of the patient (GOLD, 2016). Warm Regards, Morrisa Gibson Works Cited Epocrates. (2019). Point of care medical applications. Retrieved from https://www.epocrates.com/ Global Initiative for Chronic Obstructive Lung Disease [GOLD]. (2016, April 5). Global initiative for chronic obstructive lung disease. Retrieved from https://goldcopd.org/ Woo, T. M., & Robinson, M.V. (2016). Pharmacotherapeutics for nurse practitioner prescribers (4th ed.). Philadelphia: F.A. Davis. Retrieved from https://fadavisreader.vitalsource.com/#/books/9780803658110/cfi/6/2!/4/2 @0:0.00
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