1symptoms to pay attention to for pulm
SOB/dyspnea
accessory muscle use
fatigue
hypoxemia
2FEV 1 pre and post ex assessed to document
exercise induced bronchospasm
3decrease of >15% in FEV 1 pre to post ex ->
bronchodilater use pre exercise
4how to quantify dyspnea
ask about onset, frequency, severity, activites, triggers
5dyspnea scales
Borg, mMRC dyspnea, UCSD SOBQ,
6UCSD SOBQ
0-5 scale asking amount of "breathlessness" in daily activites
7MCID for UCSD SOBQ
>5-8 points
8Health related QoL tests
Chronic Respiratory Questionnarie (CRQ) - best
Baseline Dyspnea Index (BDI) and Transitional Dyspnea Index (TDI) - short
St George's Respiratory Questionnaire
Medical outcomes study
9CRQ categories
dyspnea, fatigue, emotional functioning, sense of control over disease
10BDI and TDI categories
dyspnea, functional impairments, effort
11St George's categories
symptoms, activites, impacts
12Medical Outcomes Study categories
Physical health
emotional health
pain
activity limitations
vitality
general health perception