Comprehensive Case Study
Joe
COPD c. pneumonia, dyspnic, wheezy
RR=32, O2=86%, HR=103 - ANSWER-Drugs:
Albuterol neb Q4h PRN
Azithromycin !VPB Q24h
Solu-Medrol 60mg IVP
Tylenol 650 mg Q6h fever
Albuterol (1) (3) - ANSWER-use: bronchodilator
sdfx: tremor, anxiety, insomnia, H/A, dizzy, paradoxal bronchospasm, dry throat
assess: lung sounds, respiratory status, vital capacity, ABG's, HR, BP, sputum
T: only take AS PRESCRIBED, take missed dose if remembered, how to use an
inhaler/neb treatment, keep away from eyes, wash inhaler in warm water
Azithromycin (2) (2) - ANSWER-use: anti-infective of upper and lower respiratory
infections
sdfx: H/A, dizzy, vertigo, hepatotoxicity, c. dif., heart burn, myasthenia gravis,
angioedema
assess: liver/renal function, super infection, fever, fatigue, sore throat, mouth, sore
throat
T: super infection s/sx, DON'T TAKE Al or Mg containing antacids at the same time as
azithromycin
Solu-Medrol (TITRATE) (3) (1) - ANSWER-use: corticosteroid - severe inflammation
and shock
sdfx: depression, flushing, sweating, circulatory collapse, thrombophlebitis,
thrombocytopenia
assess: decrease in K+, CBG (steroids hide CBG), joint mobility, parathesias, pain,
mobility, edema
T: report is therapeutic effects decrease, increase your K+, Ca++, and protein in your
diet, DON'T D/C abruptly, NO OTC, recognize s/sx of ADRENAL INSUFFICIENCY (s/sx
of hyperthyroid) --> Addisons
------> change in HR-BP, chronic diarrhea, loss of appetite, wt loss, pale, weak, craves
salt
Tylenol (4) (4) - ANSWER-use: anti-pyretic, nonopioid analgesic
sdfx: hepatotoxicty, ABD pain
assess: renal/liver function, fever, pain, blood
T: DON'T take too much, acute poisoning can result from too much, DON'T take with
EtOH, change in CBG with DM
Helen
complicated UTI, fever 101.5, Bp 108/54, HR 108, RR 24 - ANSWER-Drugs:
Levofloxacin IV 500mg Q24h
Tylenol 650 mg Q4h PRN fever
Joe
COPD c. pneumonia, dyspnic, wheezy
RR=32, O2=86%, HR=103 - ANSWER-Drugs:
Albuterol neb Q4h PRN
Azithromycin !VPB Q24h
Solu-Medrol 60mg IVP
Tylenol 650 mg Q6h fever
Albuterol (1) (3) - ANSWER-use: bronchodilator
sdfx: tremor, anxiety, insomnia, H/A, dizzy, paradoxal bronchospasm, dry throat
assess: lung sounds, respiratory status, vital capacity, ABG's, HR, BP, sputum
T: only take AS PRESCRIBED, take missed dose if remembered, how to use an
inhaler/neb treatment, keep away from eyes, wash inhaler in warm water
Azithromycin (2) (2) - ANSWER-use: anti-infective of upper and lower respiratory
infections
sdfx: H/A, dizzy, vertigo, hepatotoxicity, c. dif., heart burn, myasthenia gravis,
angioedema
assess: liver/renal function, super infection, fever, fatigue, sore throat, mouth, sore
throat
T: super infection s/sx, DON'T TAKE Al or Mg containing antacids at the same time as
azithromycin
Solu-Medrol (TITRATE) (3) (1) - ANSWER-use: corticosteroid - severe inflammation
and shock
sdfx: depression, flushing, sweating, circulatory collapse, thrombophlebitis,
thrombocytopenia
assess: decrease in K+, CBG (steroids hide CBG), joint mobility, parathesias, pain,
mobility, edema
T: report is therapeutic effects decrease, increase your K+, Ca++, and protein in your
diet, DON'T D/C abruptly, NO OTC, recognize s/sx of ADRENAL INSUFFICIENCY (s/sx
of hyperthyroid) --> Addisons
------> change in HR-BP, chronic diarrhea, loss of appetite, wt loss, pale, weak, craves
salt
Tylenol (4) (4) - ANSWER-use: anti-pyretic, nonopioid analgesic
sdfx: hepatotoxicty, ABD pain
assess: renal/liver function, fever, pain, blood
T: DON'T take too much, acute poisoning can result from too much, DON'T take with
EtOH, change in CBG with DM
Helen
complicated UTI, fever 101.5, Bp 108/54, HR 108, RR 24 - ANSWER-Drugs:
Levofloxacin IV 500mg Q24h
Tylenol 650 mg Q4h PRN fever
