COPD DIAGNOSIS AND MANAGEMENT

Is Sprimoetry Indicated:

Age:
Smoking status:  
"Do you cough regularly?"   
"Do you cough up plegm regularly?"   
"Do even simple chores make you short of breath?"   
"Do you wheeze when you exert yourself, or at night?"   
"Do you get frequent colds that persist longer than those of other people?"   
Spirometry recommended for this patient Spirometry recommended for this patient.
Spirometry not indicated for this patient Spirometry not indicated for this patient.

Update Smoking Status:

Status:

Format:
Number of cigarettes per day:  
Year Started:
Year Stopped:
Number of Years Smoking:
Pack Years:

Review Previous Spirometry:

Symptom Chart:

Have you ever had: Hayfever
Eczema
Asthma
Family history of: Hayfever
Eczema
Asthma
Breathlessness Frequency:
Never Once a month Once a week Daily Continuously
Cough:
Never Occasionally Frequently Continuosully
Sputum:
Never Occasionally Frequently Continuosully

Record Dyspnoea Scale:

1
"I only get breathless with strenuous exercise"
2
"I get short of breath when hurrying on the level or walking up a slight hill"
3
"I walk slower than people of the same age on the level because of breathlessness or have to stop for breath when walking at my own pace on the level"
4
"I stop for breath after walking about 100 yards or after a few minutes on the level"
5
"I am too breathless to leave the house" or "I am too breathless when dressing"

Record Spirometry:

Height: cm 
FEV1: Actual: (L)  Predicted: (L)  % of Predicted: %
FVC or FEV6: Actual: (L)  Predicted: (L)  % of Predicted: %
Ratio FEV1:FVC or FEV1:FEV6: %

Actions

Add classifcation of COPD (H3)
“Living Positively with COPD” provided
Add 3 year recall
Save to Daily Record