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 ...
Essays on Puffs
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Aviation terrorism is the act of unleashing violence on airliners with the aim to harm or intimidate the victims. The occurrence of terrorism has increased with the rise of aviation as a mode of transport. The first known incident of air terrorism was carried out in 1930 by Peruvian insurgents who hijacked an airplane to scatter propaganda leaflets. This practice subsided in the subsequent two decades due to the effect of global factors such as world war two. Modern terrorism started in 1968 when three Palestinian gunmen hijacked a passenger airline of the Israeli Airline El Al on a ...
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