In This Connection, Use Of Criteria GOLD Is

In this connection, Use of criteria GOLD is necessary for considering only in Complex with the clinical data. Estimation of convertibility of an obstructive syndrome When on it is confirmed or revealed Obstructive syndrome, it is necessary to spend and estimate the answer of the patient on Inhalation . ATS recommends for threshold increase The answer at least on 12 % (or 0.2 L) 10-15 minutes prior to record FVC or FEV1 to execute inhalations of a therapeutic dose . New standards GOLD recommend obligatory use 4 Inhalations (100 mcg everyone, i.e. =400 mcg a full dose) albuterol'a, Submitted through a spray. When there are signs and restrictions for Uses of preparations of this kind, apply lower doses or Use other receptions. The answer to inhalations Means (ipratropium bromide) can be estimated in 30 minutes after 4th inhalations (40 mcg everyone, i.e. = 160 mcg a full dose). Negative The answer to inhalations does not eliminate clinical advantages of application , and an affirmative reply on it is frequent Can correlate with the answer to therapy by steroids.