1. COPD Health Education Getting Tested for COPD COPD77806CONS SAR00337 Funding for this program provided by Boehringer Ingelheim Pharmaceuticals, Inc. and Pfizer Inc.

2. Find Out if You Have COPD COPD can be diagnosed and treated at any stage, but it is best treated when caught early. 1a, 2a However, some people may not notice COPD symptoms in the early stages. Or they may not know the symptoms they have are related to COPD. 3a Only with the right test can your healthcare provider confirm that you have COPD, and not another breathing condition like asthma. 3a Ask your healthcare provider about a breathing test called a pulmonary function test (PFT) 4b One type of PFT is called spirometry – this test measures the health of your lungs and how well they are working 4b

3. Is It COPD? COPD is diagnosed using a test called spirometry 1a, 2 – Non-invasive and painless test 1a – Detects COPD even before you have symptoms 2a – Shows severity, or stage, of the condition 2a Spirometry is measured by blowing into a tube connected to a machine (spirometer), which detects the amount of air blown out and the strength of that breath 1a You may need to undergo other tests such as a chest x-ray so your healthcare provider can rule out other possible conditions 2b

4. What are the Stages of COPD? Stage I – Mild 1 Airways have narrowed slightly 1 You may have a cough that wont go away, with or without mucus or phlegm 1 Stage I – Mild 1 Airways have narrowed slightly 1 You may have a cough that wont go away, with or without mucus or phlegm 1 Stage II – Moderate 1 Airways have become narrower 1 May be easily winded, especially during brisk activity (e.g., exercising, climbing stairs) 1 Stage II – Moderate 1 Airways have become narrower 1 May be easily winded, especially during brisk activity (e.g., exercising, climbing stairs) 1 Stage III – Severe 1 Airflow in and out of lungs is limited 1 May run out of breath doing the simplest activities 1 Quality of life may be affected 1 Stage III – Severe 1 Airflow in and out of lungs is limited 1 May run out of breath doing the simplest activities 1 Quality of life may be affected 1 Stage IV – Very Severe 1 Airflow is severely limited (obstructed) 1 At risk for other serious problems (e.g., lung or heart failure) 1 Quality of life may be diminished 1 Stage IV – Very Severe 1 Airflow is severely limited (obstructed) 1 At risk for other serious problems (e.g., lung or heart failure) 1 Quality of life may be diminished 1

5. Who Should Get Tested? Smokers or people who have ever smoked (cigarettes, pipes, cigars) 1a People exposed to air pollutants such as chemicals, dust, fumes, and secondhand smoke 1a, 1b People who have COPD symptoms, including: – Shortness of breath, especially during simple tasks 1b, 2a – Coughing (with or without mucus or phlegm) 1b, 2a – Wheezing 1b, 2a – Tightness in the chest 2a, 3a – Clearing of the throat 2a – Not being able to take a deep breath 3a

6. Why Should You Get Tested? Only with a proper diagnosis and treatment plan can you control COPD symptoms and slow or delay the progression of the disease 1a Leaving symptoms untreated or undiagnosed may cause them to get worse quickly

7. Where Can You Get Tested? Ask your healthcare provider about taking a spirometry test For more information: – Visit the resource websites or call the resources listed in the COPD Health Note – Check out the COPD Foundations website to see when they are offering the Mobile Spirometry Unit for free testing in your area: www.COPDFoundation.org