Henry P, age 72 years has been a smoker for 45 pack years. He was seen 2 weeks ago for increasing dyspnea

Henry P, age 72 years has been a smoker for 45 pack years. He was seen 2 weeks ago for increasing dyspnea with activity, chronic productive cough. Spirometry was completed and he returns today for follow up. Spirometry results show FEV 1 is 70% and FEV1/FVC is 68%. You recognize that this is consistent with mild to moderate Chronic Obstructive Pulmonary Disease. In addition to recommending smoking cessation, you begin first line therapy and start him him on: • Fluticasone propionate HFA, an inhaled corticosteroid (ICS) O Formoterol (DPI), A long acting beta-agonist like O Tiotropium DPI, a long acting muscarinic • a and b O borc all of the above