History of asthma, A 37 y/o black female Ms. Smith with a

History of asthma

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Reference no: EM133848237

Question

A 37 y/o black female Ms. Smith with a history of asthma, presents to the ER with tachypnea, and acute shortness of breath with audible wheezing. Patient has taken her prescribed medications of Cromolyn Sodium 20mg by Metered-dose inhaler (MDI) QID and Albuterol(Ventolin) 2mg by nebulizer TID at home with no relief of symptoms prior to coming to the ER. Auscultation revealed decreased breath sounds with inspiratory and expiratory wheezing and patient was coughing up small amounts of white sputum.

BP: 118/72

HR: 110

RR: 40 with signs of accessory muscle use.

Temperature: 99.4F

SaO2: 93% on room air.

An arterial blood gas (ABG) results: pH 7.5, PaCO2 27, PaO2 75.

The following drugs are prescribed:

Albuterol (Proventil HFA) 90mcg/puff, 4-8 puffs every 20 minutes up to 4 hours, then every 1-4 hours as needed

Fluticasone (Flovent Diskus) 200mcg oral inhalation by MDI BID

1. For each drug describe the:

· Action and therapeutic effect

· Common adverse reactions

· Major lab test considerations

· Do the two drugs above interact with each other? If yes, what is the interaction?

· Are the routs, dosages, and frequencies of the drug appropriate for this patient?

2. Discuss major client education for a Fluticasone (Flovent) prescription upon discharge to home.

3. What is the ultimate goal of asthma therapy?

Reference no: EM133848237

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