A patient with severe, chronic COPD uses an inhaled LABA/glucocorticoid but continues to have frequent exacerbations of symptoms. The nurse will contact the provider to discuss:
a. adding roflumilast [Daliresp] once daily.
b. changing to oral theophylline twice daily.
c. prescribing oral steroids once daily.
d. Using an ipratropium/albuterol combina-tion twice daily.
A
For patients with chronic, severe COPD, the risk of exacerbations may be reduced with roflumi-last. Theophylline is used only when other bronchodilators are not effective. Oral steroids are not indicated for this use. Ipratropium is used to treat bronchospasm in COPD.
You might also like to view...
Match the type of special needs assessment with the correct example
1) Do you perform monthly breast self-exams? 2) Do you live near any industrial manufacturing plants? 3) Who can you talk to when you feel sad? 4) Who do you live with? 5) What is your understanding of your diet? 6) Since you had your stroke, have you had any problems feeding yourself? 7) Do you have a religious preference? ____ 5. Community ____ 6. Family ____ 7. Functional ability ____ 8. Nutrition ____ 9. Psychosocial ____ 10. Wellness
A client is experiencing a multisystem fluid volume deficit. The nurse notes that symptoms present include tachycardia; pale, cool skin; and decreased urine output. These signs are most likely a direct result of which of the following?
1. The body's natural compensatory mechanisms 2. Pharmacological effects of a diuretic 3. Effects of rapidly infused intravenous fluids 4. Cardiac failure
Summarise the main points that reflect the purposes of a literature review from a research consumer's perspective
What will be an ideal response?
A female client is readmitted to the facility with a warm, tender, reddened area on her right calf. Which contributing factor should the nurse recognize as most important?
a) A history of diabetes mellitus b) An active daily walking program c) Recent pelvic surgery d) History of increased aspirin use