Respiratory Case Study TL is a 65

Respiratory Case Study TL is a 65 year old male previously diagnosed with asthma. He is now complaining of increased shortness of breath when he goes for his walk after work, and needs to use his albuterol daily. He reports that he was seen in the ER 3 months ago for asthma and was treated with oral steroids (prednisone) for 5 days which helped and relieved his symptoms. Since then he has continued to use his albuterol daily and is now reporting that he waking at least once a week with asthma symptoms. What medication(s) can be added to TL’s asthma regime to prevent his asthma exacerbations? How would TL benefit from using a long acting inhaled beta 2 agonist to treat his asthma? What is the pharmacologic difference between inhaled corticosteroids vs. oral corticosteroids, and what patient teaching is necessary when prescribing an inhaled corticosteroid? You see TL for a follow up appointment in 8 months and his respiratory status is moving toward COPD, Chronic Obstructive Lung Disease which is enhanced by chronic inflammatory response in the airways. At this point you feel that you need to add an anticholinergic medication to his regimen. What is the mechanism of action of an inhaled anticholinergic medication such as ipratropium? Case Study Rubric Criteria Excellent-20 Good-15 Fair-10 Poor-5 Grade: 1. Definition of the problem and its pathophysiology Clearly identifies critical elements of the pathophysiology in a clear and concise presentation Identifies most of the critical elements of the pathophysiology in a clear and concise presentation Identifies some of the critical elements of the pathophysiology in a clear and concise presentation Identifies a few of the critical elements of the pathophysiology and not in a clear and concise presentation 2. Classification of the drug, generic and trade name and how it works in the body Identifies the classification of the drug and describes in detail how it works in the body using correct terminology Identifies the classification of the drug although does not fully describe how it works in the body using correct terminology Identifies the classification of the drug and how it works in the body with minimal explanation and not always using correct terminology Identifies the classification of the drug and minimal explanation of how it works in the body not using correct terminology 3.Adverse effects, precautions, and dosing of the drug Discusses the ADR’s of the drug in detail and how it may affect other body systems Discusses most of the ADR’s of the drug in some detail and how it may affect other body systems Discusses a few of the ADR’s of the drug with in some detail but does include how it may affect other body systems Discusses very few of the ADR’s with minimal detail and does not include how it may affect other body systems 4. What educational information and precautions you need to teach the patient including when to call the provider Discuss in detail the educational information you will need to go over with the patient including precautions and when to call the provider. Discuss in some detail the educational information you will need to go over with the patient including some of the precautions of when to call the provider Discusses a few of the ADR’s in minimal detail and information you will need to go over with the patient including a few of the precautions of when to call the provider. Discuss in minimal detail the educational information you will need to go over with the patient, not including precautions of when to call the provider

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