Question

PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is preseribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet by mouth three times a day Day 3 1 tablet by mouth two times a day Day 4 1 tablet by mouth in the morning Day 5 1½ tablet by mouth in the morning Explain the use of prednisone during an asthma attack. Explain why the dosage is decreased (tapered) over a period of 5 days. 1. Can Cromolyn sodium (NasalCrom) be substituted for prednisone during an asthma attack? Explain your answer. 2. 3. Michael is prescribed albuterol (Proventil, Ventolin). What effect does albuterol have on controlling asthma? 4. For each drug dose, Michael is to take two puffs of albuterol administered by an inhaler What instructions should be given to the patient concerning the use of an inhaler? To minimize the frequency of Michael's asthma attacks, the health care provider prescribes theophylline (Elixophyllin) 200 mg. twice a day. The albuterol inhaler is to be taken as needed. Nursing interventions include patient history of asthma attacks and physical assessment. 5. When taking the patient's history, what should the nurse include concerning asthmatic attacks? What type of drug is Elixophyllin? Why should the nurse ask if Michael smokes? 6.

Answer 1

0 Prednisolone is mainly given in emergency cases deling asthma attack It acts by reducing the inflammation I in ausways The dose is happened because it is given for short acting period of time and given in Schlows asthma attack I stopped abruptly may lead to death No Inhaled steroids have more effect when compared to Gromolyn sodium Decoding to National Institute of Health [NIHT asthma quidelines cromoly, ý an alternative therapy for asthma. The effectiveness dj Cromolyn is less when compared to prednisolone. ③ Albuterol belongs to class of drug known as Bronchedülátors. I klorks in airways by relaxing muscles and opening breathing passages. albuterol is used to treat wheezing and SoB caused by asthma.

Ou:| Instructions are as follows sland (or) sit op straight Shake the inhaler Breathe out all the way Put the inhaler in your mouth Press inhaler quickly to release medicine and breathe slowly in for 3-5 Seconds Hold your breathe for to seconds to allow medicine to go deeply into your lungs. > Breath cut slowly wait 1-2 minules for second puff