SCENARIO. Donald is a 60 year old male presenting with

SCENARIO. Donald is a 60 year old male presenting with dyspnea (shortness of breath), chronic productive cough, wheezing, and fatigue. He smokes 1 pack of cigarettes per day for the last 40 years. Post-bronchodilator FEV1/FVC ratio < 0.70 confirms persistent airflow limitation. Explain the problem and discuss how you would address the problem. What treatment plan would you implement for this patient? What medication(s) would you prescribe? When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient's current medications. How would you monitor the effectiveness of this treatment plan? Note: Use clinical practice guidelines in developing your answers when possible, and provide in-text citations and scholarly reviewed references/sources within the last 5 years to support your answers.

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