Which actions should be the next management step

Reference no: EM133734848

Problem

You are seeing a new patient whA 62 year old male with COPD complains to you that in the last week his prescription of Spirivia (tiotropium), a long-acting muscarinic antagonist (LAMA), is "not working." He still feels short of breath several times a day despite using the medication daily as directed. Which actions should be the next management step? o is 72 years old. The patient has a BMI of 20 and complains of several months of constant difficulty breathing and a cough productive for clear mucus. During physical exam, you note increased chest anteroposterior diameter and hyperresonance on chest percussion. What is the most likely diagnosis?

Reference no: EM133734848

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