Scribd Logo
Upload

Welcome to Scribd!

  • 32 views

    Subjective Objective Assessmen T Plan Patient Education: Case No.: Date

    Uploaded by

    Suresh Thanneru
    A 78-year-old male was admitted with chronic obstructive pulmonary disease (COPD) exacerbations and difficulty breathing for 6 months. His vital signs and lab tests were taken. He has a history of COPD, hypertension, and diabetes. He is on multiple medications including corticosteroids, antibiotics, bronchodilators, and others. His COPD exacerbations are likely caused by infections and air pollution. His treatment plan is to continue his current medications, monitor him, and educate him on medication adherence and lifestyle changes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Subjective Objective Assessmen T Plan Patient Education: Case No.: Date

    Uploaded by

    Suresh Thanneru
    32 views2 pages
    A 78-year-old male was admitted with chronic obstructive pulmonary disease (COPD) exacerbations and difficulty breathing for 6 months. His vital signs and lab tests were taken. He has a history of COPD, hypertension, and diabetes. He is on multiple medications including corticosteroids, antibiotics, bronchodilators, and others. His COPD exacerbations are likely caused by infections and air pollution. His treatment plan is to continue his current medications, monitor him, and educate him on medication adherence and lifestyle changes.

    Original Description:

    case study on copd

    Original Title

    4 COPD

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A 78-year-old male was admitted with chronic obstructive pulmonary disease (COPD) exacerbations and difficulty breathing for 6 months. His vital signs and lab tests were taken. He has a history of COPD, hypertension, and diabetes. He is on multiple medications including corticosteroids, antibiotics, bronchodilators, and others. His COPD exacerbations are likely caused by infections and air pollution. His treatment plan is to continue his current medications, monitor him, and educate him on medication adherence and lifestyle changes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    32 views2 pages

    Subjective Objective Assessmen T Plan Patient Education: Case No.: Date

    Uploaded by

    Suresh Thanneru
    A 78-year-old male was admitted with chronic obstructive pulmonary disease (COPD) exacerbations and difficulty breathing for 6 months. His vital signs and lab tests were taken. He has a history of COPD, hypertension, and diabetes. He is on multiple medications including corticosteroids, antibiotics, bronchodilators, and others. His COPD exacerbations are likely caused by infections and air pollution. His treatment plan is to continue his current medications, monitor him, and educate him on medication adherence and lifestyle changes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Case No.

    :
    Date:
    SUBJECTIVE

    OBJECTIVE

    ASSESSMEN
    T

    PLAN

    PROBLEM

    1.VITAL SIGNS
    2.LAB TESTS
    3.MED.LIST

    ETIOLOGY OF
    PROBLEM

    1.EVALUATE CURRENT THERAPY


    FOR PROBLEM
    2.EVALUATE NEED FOR THERAPY

    GOALS FOR
    TREATMENT
    OF PROBLEM

    RECOMMEND
    1. DRUG TREATMENT
    FOR PROBLEM
    2. MONITORING
    PARAMETERS FOR EACH
    DRUG LISTED
    3. FURTHER TESTS FOR
    PROBLEM IF NEEDED
    4. DRUGS TO BE
    AVOIDED AND WHY

    CHRONIC
    OBSTRUCTIVE
    PULMONARY
    DISEASE (COPD)
    ACUTE
    EXACERBATIONS

    Vitals:
    B.P : 150/90 mm of Hg
    PR
    : 80/min
    SPO2 : 94%
    CVS : S1S2 ++
    RS
    : B/L wheeze +
    B/L crepts +

    A significant
    cause of
    breathlessness
    in COPD is
    hyperinflation
    of the lungs
    due to air
    trapping due to
    broncho
    constriction.

    Inj. Hydrocortisone Sodium , a


    corticosteroid is prescribed to prevent
    flare-up

    Normalize
    breathing and
    to prevent
    further attack.

    1. Continue the current


    medication
    2. Nil
    3. Nil
    4. Avoid non selective
    blockers for treating
    Hypertension in this
    patient because of their
    broncho constriction
    effect.

    78 y/o male, was


    admitted on
    16/04/2014 with c/o
    Breathlessness.
    Difficulty in breathing
    6 months
    PMH:
    HTN,COPD,DIABETES
    >7 years

    Labs:
    DAY
    HB
    FBS
    PBS

    1
    12.2 gm%
    136mg/dl
    211mg/dl

    Current medication:
    Inj. Hydro Cortisone Na 100mg
    SOS
    Inj. Imipenem & Cilastatin 500mg
    BD
    Inj. Pralidoxime Iodide 40mg OD
    Inj. Etophylline +Theophylline
    2ml OD
    T.Levo Salbutamol BD
    Budesonide Nebuliser BD
    Acetyl Cysteine Nebuliser BD
    Inj. Furosemide 10mg SOS
    Inj. Paracetamol 250mg BD
    Inj. Magnesium Sulphate 100ml
    OD

    most often
    caused by
    infections
    such as acute
    bronchitis and
    pneumonia
    and air
    pollution.

    Imipenem& Cilastatin for bacterial


    exacerbations of COPD
    Inj.Pralidoxime Iodide for Respiratory
    Depression
    Inj Etophylline + Theophylline to
    prevent flare-up
    T. Levo Salbutamol (Bronchodilator)
    Budesonide Nebuliser control of
    asthma and COPD in persons
    requiring continuous, prolonged
    treatment.

    PATIENT
    EDUCATION

    Continue
    emphasizing
    medication
    adherence.
    Any regular exercise
    or physical
    activity is good.
    However, ideally the
    activity that you do
    should make you at
    least a little out of
    breath
    Avoid bad air
    (airway irritants like
    air pollutions,
    chemical fumes, and
    dust)

    Acetyl Cysteine Nebuliser Mucolytic


    Need for Therapy :
    Long-acting bronchodilators help
    prevent breathing problems. They
    help people whose symptoms do not
    go away (persistent symptoms). They
    include: Anticholinergics (such as
    tiotropium). Beta2-agonists (such as

    Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA

    Case No.:
    Date:
    T.Atenolol 25mg BD
    T.Lactic Acid Bacillus TID

    arformoterol, formoterol, or
    salmeterol).
    Phosphodiesterase-4 (PDE4)
    inhibitorsPhosphodiesterase-4 (PDE4)
    inhibitors are taken every day to help
    prevent COPD exacerbations. The
    only PDE4 inhibitor available is
    roflumilast.

    Department of Pharmacy Practice, Sri Venkateswara College of Pharmacy, RVS Nagar, Chittoor-517127 (AP), INDIA

    You might also like