COPD Case Study - 1000 Words

Based on the symptoms of exacerbation of COPD, we decided to add Atrovent which is an anticholinergics, prednisone which is a glucocorticoid, and doxycycline, an antibiotic (Stoller, 2017). The patient has already been prescribed albuterol, which is a short-acting beta-adrenergic agonist. In adding Atrovent to the treatment therapy, it increases the effect of bronchodilation and helps the patient to breathe better (Stoller, 2017). For the antibiotics, it is recommended that the â€Å"antibiotic regimen should target likely bacterial pathogens (Haemophilus influenza, Moraxella catarrhalis, and Streptococcus pneumonia)† (Stoller, 2017). Thus, we chose doxycycline as the drug of choice for the treatment (Bartlett Sethi, 2017). Ipratropium†¦show more content†¦Providers also need to be caution in using it on patients who has glaucoma, myasthenia gravis, and prostatic hyperplasia/bladder neck obstruction (Lexicomp, 2017). Drug to Drug, Food, Herb Interaction Ipratropium has many drug interactions. Some in the X category include aclidinium, anticholinergic agents, glucagon, glycopyrrolate, potassium chloride which need to avoid combining with Atrovent (Lexicomp, 2017). Many of the X category drugs enhance the anticholinergic effect. Other drugs that are C category include acetylcholinesterase inhibitor, gastrointestinal agents, nitroglycerin, thiazide diuretics and tiotropium (Lexicomp, 2017). It is important to note that some of the common drug interactions. For nitro, it is important to remember the anticholinergic agents may impair or decrease the absorption of sublingual nitrate (Lexicomp, 2017). Also, the potassium chloride, the anticholinergic agent may enhance the ulcerogenic effect on the oral form of potassium (Lexicomp, 2017). Administration Guidelines For Metered-dose inhaler, it is important to prim the inhaler, by releasing two test spray in the air, before use (Lexicomp, 2017). Clinical Drug Dosing The recommended dose for acute exacerbation of COPD is 2 inhalation of MDI every four to six hours (Lexicomp, 2017). Prednisone For respiratory diseases, it treats disease such as aspiration pneumonitis, asthma, pulmonary tuberculosis, hypersensitivity pneumonitis, and pulmonary fibrosis (Lexicomp, 2017).Show MoreRelatedCopd Case Study1360 Words   |  6 PagesThe effectiveness of Family Support Caregiver in improving the Functional Status of Client with Pulmonary Diseases. Abstract: Due to the progressive of the Chronic Obstructive Pulmonary Disease (COPD) and many patients are suffering from its complications. The purpose of this study is to determine whether different support groups formats and family supports improve the functional status of clients with pulmonary disease. 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