GOLD: Recommendations for ICS Use

Severity

Symptoms

Spirometry

Treatment

At Risk Stage 0

+/- Chronic cough,

sputum

Normal

Education, avoidance

risk factors,

flu vaccine

Mild Stage I

+/- Chronic cough,

sputum

FEV1 / FVC < 70%

FEV1 > 80%

predicted

Short-acting ?2-

adrenergic PRN

Moderate Stage II A & B

+/- Chronic cough, sputum,

dyspnea

Reg Bronchodilator

Consider ICS

Rehabilitation

Severe Stage III

+/- Cough, sputum,

dyspnea

Reg Bronchodilator

Consider ICS

Rehabilitation

LT Oxygen

Surgery

FEV1 / FVC < 70%

FEV1 < 30% or

FEV1 < 50% with

respiratory failure,

cor pulmonale

FEV1 / FVC < 70% FEV1 30% - 80% predicted

Previous slide

Next slide

Back to first slide

View graphic version