How are spiriva and servant different?
How do they work?
Can they be used togerher?
1. Drug - Spiriva
# Classification:
Therapeutic: bronchodilators
Pharmacologic: anticholinergic
# Indications
Long-term maintenance treatment of bronchospasm due to COPD. Reducing exacerbations in patients with COPD.
# SideEffects
dry mouth, hypersensitivity reactions including angioedema.
# Implications
Do not confuse Spiriva (tiotropium) with Inspra
(eplerenone).
• Advise patient to notify health care professional immediately if
signs and symptoms of angioedema (swelling of the lips, tongue, or
throat, itching, rash)
Drug - Serevent
# Classification:
long-acting beta2 adrenergic agonist
bronchodilator
# Action
stimulates beta2 - adrenergic receptors in lungs, results in relaxation of bronchiole smooth muscle
# Indication :
prevention of bronchospasm and maintenance associated with COPDs
# side effects:
headache
# Adverse effects
headache, pain, hypokalemia, hyperglycemia, nasal congestion, hypertension
# Contraindications
treatment of asthma without a concomitant long-term asthma
control medication, such as an inhaled corticosteroid
status asthmatics or other acute episodes of asthma
2. Mechanism of Action of spiriva - Tiotropium is a muscarinic receptor antagonist, often referred to as an antimuscarinic or anticholinergic agent. Although it does not display selectivity for specific muscarinic receptors, on topical application it acts mainly on M3 muscarinic receptors located in the airways to produce smooth muscle relaxation, thus producing a bronchodilatory effect.
Mechanism of Action of serevent - serevent stimulates beta2 -adrenergic receptors in lungs , results in relaxation of bronchiole smooth muscle .
3. Yes, they can be given together as there is no drug interaction between them .
Compared to single-agent therapy, combination therapy of tiotropium plus salmeterol in COPD provided clinically meaningful improvements in airflow obstruction and dyspnea as well as a reduction in reliever medication.
How are spiriva and servant different? How do they work? Can they be used togerher?
How do the concepts of servant leadership and stewardship differ from traditional leadership philosophies? Provide a “real-life” example of someone you think demonstrates a servant leadership approach in his or her role as a leader (this can be someone you know personally or a well-known figure). ?(word count 150)
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How does “love” work from the perspective of a servant leader as well as from the perspective of those who are led? Explain the transformative power of love in both contexts.
a) How many different strings can be made from the word PEPPERCORN when (SHOW WORK & Explaination) i) all the letters are used? ii) at least 6 of the letters are used? b) How many different strings can be made from the letters in AARDVARK, using all of the letters, if all three As must be consecutive? (SHOW WORK & Explaination) c) How many permuations of the 26 letters of the English alphabet do not contain any of the strings...
Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead.
Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead.
Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care.
Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care.
Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care.