[Get Answer] What contraindications or precautions would eliminate the use of these drugs for Ms. Bremmer?

NR291
Case Study.Respiratory Drugs.pdf Created 7/5/2012 RC 1

CASE STUDY
Assignment: Respiratory Drugs

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 an 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 room of the nearest hospital.
Data obtained from the nursing assessment include the following:

? Lung sounds have bilateral wheezes, with diminished sounds
at bases

? Pulse oximetry 92% on admission to the ER

? Other physical assessment normal

?
Vital signs: temperature, 97.7°F; pulse, 110; respirations, 26 and shallow;
blood pressure, 120/86

The
patient is currently on medications that include albuterol inhaler, two puffs
q4h prn, and flunisolide oral inhalant, 2 puffs bid every day.

Case
Study Questions

1.
Provide
the rationale for why Ms. Bremmer is prescribed these inhalers.

2.
What
contraindications or precautions would eliminate the use of these drugs for Ms.
Bremmer?

3.
What patient variables are most important to consider for Ms. Bremmer when
assessing her drug therapy? (5 pts)

4.
What aspects of core drug knowledge (pharmacotherapeutics, pharmacokinetics,
and pharmacodynamics) are especially relevant to consider because they may
interact with the patient variables? (5 pts)

5.
Which of the findings from the nursing assessment demonstrate the effectiveness
of drug therapy? (5 pts)

6.
Which of the findings from the nursing assessment demonstrate possible adverse
effects from the drug therapy? (5 pts)

7.
What nursing actions are indicated to maximize therapeutic effects? (5 pts)

8.
What nursing actions are indicated to minimize adverse effects? (5 pts)

9.
What teaching is required for Ms. Bremmer regarding her drug therapy? Include
list of any additional data needed to determine appropriate teaching. (5
pts)

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