Al Waysmoking was a 72 year-old retired factory worker who was a chain smoker. He is experiencing fatigue, shortness of breath, but continues to smoke. Upon exam his Nurse Practitioner notes that he has a prolonged expiratory phase, expiratory wheezes, and an increased anteroposterior chest diameter. His nail beds were cyanotic and he had moderate pitting edema. Pulmonary Function Testing (PFT) revealed that Al had a decreased VC and an increased RV and FRC. Although HB was normal, PaO2 was decreased
inhaled largely remains as free drug in the airways. The plasma elimination half-life (t1/2) is two to four hours. Salmeterol is long acting, with a duration of action of at least 12 hours, allowing twice daily administration. The lipophilic side-chain of salmeterol binds firmly to an exo-site that is adjacent to, but distinct from, the β2-agonist binding site. Consequently, salmeterol functions as an almost irreversible agonist. The onset of bronchodilatation is slow
Olufidipe Oyetola GEN/CC: MM is an 80-year-old white male who presents to MCPHS pharmacy with a new prescription for Breo Ellipta 100/25 one inhalation PO twice daily. HPI: MM states ‘My COPD is getting worse and my old medicine doesn’t work anymore’. He has had 4 COPD exacerbations in the past 6 months. He has just received a new prescription from his doctor for Breo Ellipta 100/25 one inhalation PO twice daily. PMH: Glaucoma, BPH, HTN, Hyperlipidemia, OA, Insomnia, chronic COPD. PSH: Right
The other problem we will analyse is phantom limb pain syndrome, which is a pain that can be detected in the area where amputation occurred (as in the case of our patient), and there are some factors that are dangerous such as pain after surgery and amputation and, of course, the bad psychology that our patient may have (Flor, 2002). Phantom limb pain is a phenomenon of mutilation caused by this process and in these cases, can occur in many patients. Some possible ways that can cause phantom limb
Smoking-cessation counseling is counseling to aid people to stop smoking. Just like any medical condition smoking can be very detrimental to the body. Therefore when a big lifestyle change is made, it must be made carefully and in stages. Strategies to help a person quit smoking include counseling, and the use of some medications. Smoking-cessation counseling can happen over multiple media’s. The patient can either have face to face counseling, web based counseling or telephone based counseling
Asthma is a lung disease where you're airways contract, bulge and produces excess mucus. This makes breathing challenging and sets off severe coughing. For many other people asthma is just an Irritation and for many others, it’s more serious and prevents them from doing daily tasks and can lead to life-threatening asthma attacks. Asthma can’t be cured, but the symptoms can be contained. The name asthma comes from the Greek word azien, meaning breathing struggles. Asthma was discovered by a Greek
1.Match each cultural group with its corresponding cultural practice. 1 c Asian 2. a Hispanic 3. d Native American 4. b African American a. Some may seek a balance between the body and mind through the use of “cold” remedies or foods for “hot” illnesses, and vice versa. b. Some may use folk medicine, protective bracelets, and laying on of hands. c. Some believe that opposing forces lead to illness or health, depending on which force is dominant in the individual
a recent breathlessness attack in addition to a productive cough that alludes to a bacterial infection that requires an antibiotic treatment. The long history of SOB has seen the patient use a range of drugs that include prednisolone nebulizer, salmeterol, O2 prn, paracetamol prn, and insulin. Therefore, the physiotherapist needs to determine the effectiveness of these medicines and possibly change the combination to yield better