Essays on Albuterol

1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...

[Author Name] [Author Affiliation] [Author’s notes with more information about affiliations, financial obligations, conflicts of interest and how to contact] It has been estimated that 26 million Americans suffer from asthma symptoms, attributing to the majority of work- and school-related absences across the country (ACAAI, 2014). The American College of Allergy, Asthma and Immunology defines asthma as, “a chronic lung disease that inflames and narrows the airways in the lungs” (ACAAI, 20014). This causes difficulty in breathing, termed asthma, and may lead to life-threatening consequences. The lungs allow air in and out by a network of airways, called ...

Introduction

G. K is a ten-year-old that comes to the emergency room with his mother and complains of difficulty in breathing, coughing, running nose and a low-grade fever. The patient is diagnosed of respiratory distress with exacerbation, and poor control of asthma and a plan to manage the condition is addressed. G. K. ten-year-old presents with troubled breathing because of asthma exacerbation. The episode began a day ago, and it presented with fever, cough and a running nose with no other complaints. The mother mentioned that they had multiple family members with asthma. G.K.’s asthma began at infancy and ...

45 years old Hispanic male patient, who works for a constructions company, complains that two days ago while at work he experienced difficulty in breathing accompanied by coughing and short of breath. The difficulty in breathing and chest tightness increases at night when it gets cold. The patients state that he is allergic to cockroach droppings dust and grass pollen. Recently, he received a letter from management warning him of being laid off if he does not improve his work output. This has caused his stress levels to rise and in an effort to cope with the pressure of ...

1. What is the underlying mechanism of M.A.'s asthma? What are the three airway responses that occur during an asthma episode?

An autoimmune response to allergens from cats and plants is the underlying mechanism for the patient’s condition. These allergens, though nonpathogenic, trigger an inflammatory cascade wherein lymphocytes, eosinophils, mast cells, neutrophils, macrophages and dendritic cells exert their effects on the respiratory tract (Linzer 87). As an example, B lymphocytes synthesize immunoglobulin E which helps signal the release of histamine, leukotrienes, prostaglandin and cytokines which are proteins that promote vasodilation and hyperactivity in mucus-producing goblet cells (Murdoch & Lloyd 27). Prostaglandin causes the smooth muscles in the airway to constrict. Along with vasodilation and increased mucus production, bronchial constriction ...

Introduction

Nebulization is the most effective method for delivering medications to patients suffering from respiratory disease. Nebulizers do not require special inhalation techniques; therefore, hospitals utilize a variety of nebulizer designs for medicinal delivery. One of these devices is called AeroEclipse, which can be operated via one of two different modes. The breath actuation mode generates aerosol only during the patient’s inspiration while the other mode allows for the continuous generation of aerosol particles regardless of the patient’s inspiratory and expiratory efforts. Also, the AeroEclipse has two different patient interfaces: the facemask and the mouthpiece. The hypothesis of this ...

Asthma is a chronic pulmonary disorder. The inflammation of the airways and their hyper-responsiveness is responsible for several symptoms, which include coughing, wheezing, feeling of tightness in the chest area, and shortage of breath. Other characteristics of asthma include increased eosinophils, increased tissue contractibility, and thickened lamina reticularis. Although asthma has an early onset, all age groups can suffer from asthma, and all patients are at risk for acute asthma exacerbation, which leads to high morbidity and mortality rates. Because asthma is a chronic disorder, drug therapy needs to be controlled and aimed at managing the disorder. A stepwise approach ...

Background

Asthma is a chronic disease associated with inflammation of the lining of airway and obstruction of lung airflow. It usually involves an increase in the number of inflammatory cells, most commonly eosinophils and to some extent basophils, mast cells, macrophages. (Eds. Brunton, et al., 2009) Asthma, together with Chronic Obstructive Pulmonary Disease (COPD), is considered as one ofthe most common obstructive lung diseases characterized by expiratory airflow obstruction. (eds. Longo, et al., 2012) An asthmatic patient usually presents with recurrent events of shortness of bright (SOB), chest tightness, and wheezing, “a high-pitched whistling sound when breathing caused by movement of ...

Asthma Treatment

The research was undertaken to evaluate the safety and efficacy of three single doses of (R)-albuterol (levalbuterol) compared with a placebo and racemic albuterol in patients with asthma. Levalbuterol 1.25mg dose was used to compare with equal amounts of the R isomer in 2.50 mg standard dosage of racemic albuterol. Doses of 0.63 mg and 0.31 mg of Levalbuterol were also used in the study to represent one-half and one-third doses of (R)-albuterol 2.50 mg standard dose respectively

The research was double-blind, single dose ranging, five-way crossover study. The sample size was 20 patients with mild persistent to ...

Discuss the roles of the Therapeutic Goods Administration (TGA) and the Pharmaceutical Benefits Scheme (PBS) in the provision of drugs. Therapeutic Goods Administration is one of the major Australian Government Department of Health and Ageing branches and it focus mainly on helping the government to regulate various forms of therapeutic goods such as the medicines, medical equipments, implants, vaccines and haematological products. The importance of their role to the community is that those goods are something that people use every day. The goods are used in the management of different major medical conditions (Australian Government, 2011). The ...

Salbutamol

Chemical name: alpha-[(tert-Butylamino)methyl]-4-hydroxy.

Generic name: Albuterol

Australian trade names: Ventolin HFA.

Indications for the use of salbutamol

Acute asthma attack Expiratory wheezing Exacerbation of chronic obstructive pulmonary disease Shortness of breath in patients with severe breathing difficulty Prevention of premature labor at the end of pregnancy Management of hyperkalemia Reversible airway obstruction

Paramedic approval of salbutamol in South Australia and paramedic indication for use

Relieve of bronchospasm Acute Prophylaxis

A list of conventional over-the-counter medicines, complementary alternatives medicines (CAMs) and prescription medicines that are known or suspected to undergo clinically relevant interactions with your profile drug in humans Interactions occur with tricyclic antidepressants such as amitriptyline ( ...