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A case study on copd
- 2. Subjective: Patient has breathlessness and cough for 10 days. K/C/O COPD for the past 6 years. The symptoms aggravated in the last 10 days. Ther is no fever. Sputum is mucoid in nature. PAST MEDICATION HISTORY T.ASTHALIN 4mg-BD T.DERIPHYLLINE RETARD- BD TIOVA MDI- 2 PUFFS OD FORMETEROL & BUDESONIDE MDI- 2 PUFFS BD PERSONAL HISTORY: Stopped smoking 6 years ago
- 3. Objective: RS : B/L Wheeze +; BS ↓ GU& GI : Soft, liver just palpable BS + Old chest X-ray shows the presence of bullae. WBC-13250 cells/cumm (↑) PCV: 47.7% (↑) Assessment: The patient is diagnosed to have Acute Exacerbation of COPD.
- 4. Plan: T.UNICONTIN (Theophylline): It is an anti asthmatic drug given for relieving shortness of breath. One tablet has to be taken at night daily after food. It can cause headache, tremor, abdominal pain and hypotension. T.RANTAC (Ranitidine): It is given to reduce gastric irritation. One tablet is to be taken in the morning and one tablet at night 15 minutes after food. Side effects include diarrhoea, dizziness, pruritis.. T.LASILACTONE (Furosemide & Spironolactone): It is given to treat pulmonary edema and hypertension. One tablet is to be taken in the morning. Side effects are rashes, fluid electrolyte imbalance, headache and hypotension.
- 5. DUOLIN NEB Ipratropium+Salbutamol): It is used to relieve shortness of breath. Nebulise as directed by physician and should be done by only a qualified personnel. It can cause Palpitations, dry mouth, rashes, headache and hypersensitivity reactions. BUDECORT NEB (Budesonide): It is used to relieve shortness of breath and also reduce inflammation in the airways. Nebulise as directed by physician and should be done by only a qualified personnel. Side effects include dryness, irritation, oral candidiasis.