Case Scenario
Mrs. Jones, a 59-year-old white female greeted you at the doorwith complaints of shortness of breath after cleaning her dustycloset. You are seeing her for a home visit because she was justdischarged from the hospital for exacerbation of her chronicobstructive pulmonary disease (COPD). She had similar symptomsapproximately a week and a half ago from an exacerbation of herCOPD. Mrs. Jones past medical history is significant for coronaryartery disease, myocardial infarction, COPD, hypertension,peripheral vascular disease, tobacco usage, and obesity. You heardwheezing on expiration when you auscultated her chest. The patienthas two metered dose inhalers (MDI) prescribed to her— Proventilinhaler 2 puffs every 4-6 hours and Beclomethasone Dioprionateinhaler two puffs, once daily. Her other medications aside from theMDI’s, include hydralazine 50 mg by mouth, 3 times per day,hydrochlorothiazide 25 mg by mouth daily, aspirin 81 mg by mouthdaily, clopidogrel 75 mg by mouth daily, and isosorbide mononitrate60 mg by mouth daily.
1. Which inhaler will you advise the patient to take at thismoment? Why?
2. The patient asked you the difference between the twoinhalers. How will you explain it to her?
3. If you must give the two inhalers together, how will youteach the patient to do it? Include the sequence, patient teachingand possible adverse effects.
4. Using a concept map, provide a graphic representation ofthe relationships between the patients past medical history, andthe pharmacological agents that correspond to each, as listedbelow. Include the diagnosis, the drug class, brand name (ifapplicable), nursing considerations and adverse effects.Medications may correspond to more than one diagnosis (whenapplicable). A concept map template is provided for you. Edit it tofit the case scenario as you see fit.
References:
American Academy of Allergy, Asthma and Immunology. (2020).https://www.aaaai.org/conditions-and- treatments. Retrieved fromhttps://www.aaaai.org/conditions-and-treatments/library/asthma-library/inhaled-asthma-medications
Ignatavicius, D. W. (2018). Medical-Surgical Nursing: Conceptsfor Interprofessional Collaborative Care. St. Louis:Elsevier.
Rosenthal, J. B. (2016). Lehne’s Pharmacology for NursingCare. St. Louis, Elsevier.
This is the concept map
Transcribed Image Text from this Question
References for Responses and Concept Map Put your references for your answers and the concept map (next page) in correct APA citation here Medication Patient Medical Diagnosis Medication Generk Generis Trade Trade Class Mechanism of action Mechanism of action Nursing Considerations Nursing Considerations Key Assessments Advere Efects Adverse Effects Medication Medication Generis Generis Trade Trade Class Past Medical History Mechanism of action Mechametton Nursing Consideration Advere Effects Nursing Considerations Advere Effects Medication Medication Generis Generis Trade Trade Class Mechanismolestion I Mechanism action Nursing considerations Adverse effects
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