Consultation demonstrated by Dave Edwards, Respiratory Pharmacist, South Pembrokeshire Cluster.
Demonstration patient consultation: COPD review
The following steps are recommended for a COPD consultation:
Confirm Diagnosis
- evidence of post-bronchodilator spirometry FEV1/FVC ratio less than LLN
- blood eosinophil level and CXR is also recommended
Record the relevant information
- smoking status
- MRC score
- CAT score
- SpO2
- Number of exacerbations in past 12 months
- BMI
Optimise therapy
Non-pharmacological:
- Smoking cessation referral
- Pneumonia/flu/covid vaccinations
- Pulmonary rehabilitation referral (MRC3 and above)
- Inhaler technique check
Pharmacological:
Phenotype patient according to All Wales COPD Guidelines, and prescribe inhalers accordingly:
- Phenotype 1 – COPD with mainly breathlessness
- Phenotype 2 – COPD with exacerbations (+/- breathlessness)
- Phenotype 3 – COPD with asthma overlap
Optimal pharmacological treatment will depend on the patient’s phenotype.
Demonstration patient consultation: COPD review
Consultation demonstrated by Dave Edwards, Respiratory Pharmacist, South Pembrokeshire Cluster.
The following steps are recommended for a COPD consultation:
Confirm Diagnosis
- evidence of post-bronchodilator spirometry FEV1/FVC ratio less than LLN
- blood eosinophil level and CXR is also recommended
Record the relevant information
- smoking status
- MRC score
- CAT score
- SpO2
- Number of exacerbations in past 12 months
- BMI
Optimise therapy
Non-pharmacological:
- Smoking cessation referral
- Pneumonia/flu/covid vaccinations
- Pulmonary rehabilitation referral (MRC3 and above)
- Inhaler technique check
Pharmacological:
Phenotype patient according to All Wales COPD Guidelines, and prescribe inhalers accordingly:
- Phenotype 1 – COPD with mainly breathlessness
- Phenotype 2 – COPD with exacerbations (+/- breathlessness)
- Phenotype 3 – COPD with asthma overlap
Optimal pharmacological treatment will depend on the patient’s phenotype.
Mark as Understood