CLINICIAN REFERENCE
Spirometry-Linked Protocol - Clinician Reference
The Measure-Support-Reassess protocol in clinical detail.
Measure
Baseline spirometry (FEV1, FVC, PEF, ratio) to ATS/ERS acceptability; record symptoms (mMRC, cough, sputum) and exposure history.
Support
Issue variant matched to lung strength; coach technique; 5-10 breaths, 2-3x daily; log adherence.
Reassess
Repeat spirometry at 4-8 weeks under the same conditions; compare trend, symptoms and absenteeism.
Rigour
- Same device and time of day for re-tests.
- Note bronchodilator use.
- Pre-agree the success definition.
[REVIEW NEEDED BY: OMP or pulmonologist - criteria]
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