RESPIRATORY DRUGS

RESPIRATORY DRUGS

RESPIRATORY DRUGS

Tina Bremmer is a 20-year-old college student with moderate  persistent asthma. She has a cold. While  dashing across the campus on a cold fall day, she suffers an asthma attack. Her girlfriend, who is with her, knows that Tina keeps her medication in her backpack. She opens Tina’s pack, finds an inhaler, and gives it to her. Tina uses the inhaler, but instead of achieving relief, she goes into bronchospasm. She is taken to the emergency room of the nearest hospital. Data obtained from the nursing assessment include the following : • Lung sounds have bilateral wheezes, with diminished sounds at bases • Pulse oximetry 92% on admission to the ER • Other physical assessment normal • Vital signs: temperature, 97.7°F; pulse, 110; respirations, 26 and shallow; blood pressure, 120/86 The patient is currently on medications that include albuterol inhaler, two puffs q4h prn, and flunisolide oral inhalant, 2 puffs bid everyday.

Questions 1. Provide the rationale for why Ms. Bremmer is prescribed these inhalers. (10 pts)

2. What contraindications or precautions would eliminate the use of these drugs for Ms. Bremmer?(5 pts)

3. What patient variables are most important to consider for Ms. Bremmer when assessing her drug therapy?(5 pts)

4. What aspects of core drug knowledge (pharmacotherapeutics, pharmacokinetics, andpharmacodynamics) are especially relevant to consider because they may interact with the patient variables?(5 pts)

5.Which of the findings from the nursing assessment demonstrate the effectiveness of drug therapy? (5 pts)

6. Which of the findings from the nursing assessment demonstrate possible adverse effects from the drug therapy?(5 pts)

7. What nursing actions are indicated to maximize therapeutic effects?(5 pts)

8. Whatnursingactionsareindicatedtominimizeadverseeffects?(5 pts) 9. What teaching is required for Ms. Bremmer regarding her drug therapy? Includelistofanyadditionaldataneededtodetermineappropriateteaching. (5 pts)