Exam 2 - 1 Confirm the medication regimen for asthmatic...

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1. Confirm the medication regimen for asthmatic patients 2. Confirm that Montelukast was used in place of oral steroids 3. What sections are we responsible for in the Acid-Base packet (i.e. Winter's formula. .etc.) 1. If an asthmatic patient is having symptoms more than twice a week despite the regular use -usually 4 times a day - of short-acting bronchodilators (this includes Albuterol and/or Combivent), then an inhaled steroid should be added. Ipratropium is really part of the first tier of therapy. If they break through with symptoms despite Combivent plus inhaled steroid (ie using their albuterol or combivent more often than 4 times a day on a regular basis), then a longer-acting bronchodilator (Salmeterol) is used to REPLACE the q.i.d. albuterol - but they can still use albuterol as often as every 2 hours on a prn basis during flares. 2. Montelukast is used in the hope of avoiding the need for oral steroids - patients on this drug should already be using an inhaled steroid. It works, however, by a completely different mechanism than steroids do. 3. You are not responsible for the Winter formula, though you should understand the concept of
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Exam 2 - 1 Confirm the medication regimen for asthmatic...

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