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 ...
Essays on Orthostatic Hypotension
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Parkinson’s disease lacks a cure but certain medicines can help manage the symptoms. These medications function to offer a substitute for dopamine, the signaling neurotransmitter in the brain. Carbidopa-levodopa is hitherto the most effective medicine to manage Parkinson’s disease. This chemical moves to the brain and is converted to dopamine. The chemical levodopa is mixed with carbidopa preventing it from being converted to dopamine prematurely out of the brain hence potential side effects such as nausea are lessened. Potential side effects with this medication however include orthostatic hypotension or feeling light headed and nausea. With continued use ...