Question

of COPD is admitted to the emergency department with A 66-year-old male with a history of COPD is admitted to the emers shortness of breath. He is not currently taking any medication for his breathing. Th states that he usually gets short of breath only upon exertion, but he developed several days ago that made his breathing worse. He has been placed on Oxygen The n placed on oxygen. The doctor wants him to have breathing treatments. a) What medication, dose and route of administration would you suggest? a) How should the effectiveness of the treatments be monitored? b) After several days of breathing treatments and antibiotics, the patient is ready for discharge, but he still becomes short of breath during the night. What maintenance medication(s) do you suggest?

Answer 1

a, Amoxicillin is a antibiotics to treat infection caused by cold.
Amoxicillin 500mg orally
Short acting bronchodilators
Albutorol 5mg or 4mg orally three to four times a day
1 or 2 inhalations 90 to 180mcg every 4 to 6 hours
a, Effectiveness of the treatment can be monitored by patient present symptoms
Pulse oximetry measurements, ECG monitoring, spirometry reading to monitor lung function.
b, Bronchodilation administration with or without a spacer or solution nebulizer can be considered as a maintenance respiratory medications.
Albuterol 1 or2 inhalations orally every 4 to 6 hours or
2.5mg 3 to 4times a day by nebulization
Albuterol 4mg to 8mg every 12 hours
a, Noctural Asthma present with the symptoms of chest tightness, shortness of breath, cough, wheezing at night making sleep impossible.
b, Bronchodilator Albuterol 1 or 2inhalation orally every 4 to 6 hours or 2.5mg Albuterol three times a day by nebulization
c, Maximal expiratory flow-volume curves assessment can assess the child lung function with Asthma. forced expiratory volume and forced vital capacity ratio to provide cross-sectional analysis in childhood asthma. peak expiratory flow(PEF) monitor airway obstruction. regular measurement of FEV1 with spirometry is useful
Bronchial hyperresponsiveness tests can monitor the severity of Asthma.