Essay on Case Study - Pharmocology

840 Words Jun 27th, 2016 4 Pages
This discussion question is based on a case study. As in all case studies, review the facts of the case and consider the various steps of the nursing process in order to address the critical thinking questions.
Case Study: D.Q. is a 57-year-old male who worked in a water treatment plant for many years. He also smoked heavily for approximately 30 years. He has been diagnosed with COPD. During an extremely hot summer, he arrived at the emergency department in severe exacerbation of the COPD. The patient’s heart rate is 123, blood pressure is 163/90, respiratory rate is 34, oxygen saturation is 86% on 2 L NC, and temperature is 37.5 celsius.
In preparation for discussion, consider the following process points before posting to the threaded
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Finally, and most importantly, D.Q. needs to understand the dangers of smoking, and that it is the primary cause for COPD (Kee, Hayes, McCuistion, 2012).

Glucocorticoid - D.Q. should be taught to take this medication with meals due to the possibility of causing ulceration. He also needs to be aware of the possible side effects, including throat and mouth irritation. The use of a spacer can help prevent infections in the throat, as can rinsing his mouth with water after each dose. D.Q should also be aware of side effects which include headaches, euphoria, confusion, insomnia, weakness, nausea, vomiting, or signs of depression (Kee, et al., 2012)
Expectorant – D.Q. should understand that expectorants will not so much cease coughing, but rather loosen the bronchial secretions so that they can be removed when he coughs. D.Q. should know that expectorants can be found in many OTC products, and that the most common one found in these products is guaifenesin. Adequate water intake is important when taking an expectorant as it will assist in its effect (Kee, et al., 2012)
What medications do you anticipate the physician ordering? Why?
I would anticipate the physician ordering a bronchodilator like albuterol due to its rapid effectiveness in widening D.Q.’s airway. Additionally the physician could order an expectorant such as guaifenesin. Finally, a glucocorticoid, such as advair would most likely be prescribed to assist

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