[Answered]: Martin is a 73 y/o male who has a 50 year/pack…

Martin is a 73 y/o male who has a 50 year/pack history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb . weight loss, and a more noticeable pursed lip breathing. Given Martin’s condition the first line treatment would be all the following except: Albuterol Salmeterol Levalbuterol metaproterenol