NR291 CASE STUDY Assignment: Respiratory Drugs

Chamberlain College of NursingNR291 Pharmacology I 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)