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 the 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 Department of the nearest hospital.
Data Obtained From ED Assessment
- Lungs sounds have bilateral wheezes, with diminished sounds at bases
- Pulse oximetry 90% on admission to the ED
- Other physical assessment normal
- Vital signs: Temperature, 97.7°F; pulse, 110; respirations, 26 and shallow; blood pressure, 120/86 prior to nebulizer treatment in the ED
Current Drug Therapy
- Ipratropium inhaler( Atrovent) two puffs four times daily
- Budesonide (Pulmicort) inhaler two puffs twice daily
- Albuterol inhaler two puffs q4h PRN
CONSIDER THE CORE DRUG KNOWLEDGE FOR THIS DRUG:
Provide the following information for each drug that the patient is taking:
Be sure to provide information that is specific to this patient
Action, Indication for use, Therapeutic dosage, Contraindications, Adverse Reactions
Any Drug/Drug Interaction with her current medications
CONSIDER THE CORE PATIENT VARIABLES FOR THIS DRUG:
( consider the patient history including past medical history, social history, lifestyle, etc.)
What patient variables are most important to consider for Tina when assessing her?
CONSIDER THE MANAGEMENT NEEDED WITH THIS DRUG THERAPY
What actions are indicated to maximize therapeutic effects and minimize adverse effects given the patient’s condition from the ED assessment?