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5th May 2024
A 68-year-old man with a diagnosis of idiopathic pulmonary fibrosis (IPF) presents with a 3-month history of progressively worsening breathlessness on exertion.
A 68-year-old man with a diagnosis of idiopathic pulmonary fibrosis (IPF) presents with a 3-month history of progressively worsening breathlessness on exertion. He is a former smoker and quit 10 years ago. His current medications include pirfenidone and supplemental oxygen therapy. His latest spirometry shows a forced vital capacity (FVC) of 45% predicted and a diffusing capacity of the lungs for carbon monoxide (DLCO) of 29% predicted. He has no signs of acute exacerbation.
Which of the following is the most appropriate next step in managing his condition?
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