Chronic obstructive pulmonary disease caught cold

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Reference no: EM133900702

Question

A 64-year-old with chronic obstructive pulmonary disease (COPD) caught a cold a week ago and presents to the clinic with green sputum and increased shortness of breath. He had a fever at the beginning of the cold but does not have a fever today. Current medications are Symbicort (budesonide/formoterol) and lisinopril. No known drug allergies and no recent use of antibiotics. Social history: former smoker - stopped 5 years ago; occasional glass of wine with dinner Labs:

• Forced expiratory volume in one second/forced vital capacity (FEV1/FVC): 68 (range 76.5-88); FEV1 = 86% of predicted value

• Forced vital capacity (FVC): 4.09 (range 2.4-4.1)

• GOLD staging: Stage 1 chronic obstructive pulmonary disorder (COPD; mild)

• COPD assessment test (CAT) score: 7 On examination, he is afebrile, with respiratory rate 18 breaths/min, heart rate 98 BPM, blood pressure 135/70 mm Hg, and SaO2 95% on room air. Lung auscultation reveals decreased breath sounds and diffuse inspiratory and expiratory wheezes and no crackles. Diagnosis: Acute COPD exacerbation.

1. What medications will the NP prescribe for this patient? Provide a rationale (Use prescription pad)

2. What education does the NP provide to the patient.

Reference no: EM133900702

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