Final answer:
In patients with a post-bronchodilator FEV1/FVC < 0.70, the COPD severity is classified as Stage 4 or 'very severe' when the post-bronchodilator FEV1 predicted value is less than 30% of the predicted normal value.
Step-by-step explanation:
In patients with a post-bronchodilator FEV1/FVC < 0.70, the COPD severity is classified as Stage 4 or 'very severe' when the post-bronchodilator FEV1 predicted value is less than 30% of the predicted normal value.
For example, if the predicted normal value for FEV1 is 2 liters, then the patient would be classified as Stage 4 'very severe' if their post-bronchodilator FEV1 value is less than 0.6 liters (30% of 2 liters).
It is important to note that the predicted normal value for FEV1 can vary depending on factors such as age, sex, height, and ethnicity.