Essays on Inhaler

1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...

Question 1

The spirometer as well as the peak flow meter are among the key equipment needed in adequate assessment of asthma (Apter, 2014). As such, the spirometer measures the FEV (Force Expiratory volume) and the FVC (Force Vital Capacity) while the peak flow meter measures the efficiency in the flow of air from the lungs.

Question 2

Among the key symptoms and signs associated with asthma include; -Chest tightness -Shortness of breath -Wheezing -Fatigue -Coughing -Sleeping difficulties

Question 3

Asthma is usually associated with various precipitating factors that increase an individual’s likelihood of developing the disease. Among the key precipitating factors include; -Family ...

Questions

1) Assess laboratory parameters and determine how this impacts care of the patient. Please describe 1 example . Every morning when I visit the patients in a routine roundup, I review their records of laboratory parameters that include liver function and renal function. This review enables me to determine that the parameters are below normal. Therefore, I immediately make recommendations for the patients based on this information. For example, I saw a patient with INR of 1.6 taking 3mg. of Warfarin. I recommended increasing the dose of Warfarin to reach the therapeutic level of 2-3.

For now, I meet the ...

First Shift (4/7) - 8am to 4pm

I started at C-MED and then I moved to dispatcher and call taker. Basically, C-MED controls the ambulances and ER, and connects them in one line. During my shift, I observed that sixteen ambulances were directed to the Bay State Hospital, four ambulances to the Mercy Hospital, and just one call was directed to the Holyoke Hospital. Two hours later, I moved to dispatcher and using a headphone listened to how the dispatcher contacts the EMS crew. I observed how the dispatcher balanced ALS and BLS in the city, and sent ambulances to the scene. Also, I observed whether ...

Mary is a 51-years old female who has been a bookkeeper for the large part of her lifetime. In her childhood days, Mary had a weak chest in her childhood, but these problems have significantly reduced in her adulthood save for occasional colds during the cold season. Mary admits that she thinks that she would experience some wheeziness in case she participated in exercise, but she has had a sedentary lifestyle and thus there was no cause for worry with her asthma (British Thoracic Society, 2015). Mary’s symptoms over the last five years have increased gradually even amidst ...

Introduction

G. K is a ten-year-old that comes to the emergency room with his mother and complains of difficulty in breathing, coughing, running nose and a low-grade fever. The patient is diagnosed of respiratory distress with exacerbation, and poor control of asthma and a plan to manage the condition is addressed. G. K. ten-year-old presents with troubled breathing because of asthma exacerbation. The episode began a day ago, and it presented with fever, cough and a running nose with no other complaints. The mother mentioned that they had multiple family members with asthma. G.K.’s asthma began at infancy and ...