Alice is an 80 year old female with COPD (FEV1/FVC: 60%, FEV…
Alice is an 80 year old female with COPD (FEV1/FVC: 60%, FEV1: 70% predicted). She has experienced one COPD exacerbation in the past year along with pneumonia which led to a hospital visit. Her CAT score today is 15. Her eosinophil count today is 50 cells/uL. She is currently receiving Spiriva Respimat as maintenance therapy and albuterol HFA as rescue treatment. She uses her rescue inhaler 3-4 times per day. What is the most appropriate next step for Eleanor’s maintenance therapy?
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