will also be placed on a long acting beta agonist, which will be salmeterol dry powder inhaler (DPI) 50 mcg/inhalation, take 50 mcg every 12bhours (Arcangelo et al., 2017). This medication has the same adverse side effects as you may see with a short acting beta agonist. Salmeterol is not indicated for relief of acute bronchospasm (Fromer & Cooper, n.d.). The patient would be prescribed prednisone, an oral corticosteroid, 40 mg daily for 5 days. Common adverse effects the patient should be made aware of include oral candidiasis, dysphonia and hyperglycemia (Fromer & Cooper, n.d.). Even though this is the first encounter with this patient at the clinic, the patient reports increased cough, increased dyspnea and sputum which is greenish yellow, therefore indicating an antibiotic be prescribed (Arcangelo et al., 2017). This patient will be prescribed doxycycline 100 mg every 12 hours for 7 days. Doxycycline is a tetracycline, these medications commonly cause gastrointestinal upset, hypersensitivity, photosensitivity reactions, and rash (Arcangelo et al., 2017). Due to the patient not currently taking any medication prior to this visit at the clinic, these four prescriptions may overwhelm the patient. The patient will be counseled on the importance of these medications to help with the patient’s breathing. The patient would be advised to return to the clinic in 5-7 days to re-evaluate symptoms and treatment options.
References Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Barrecheguren, M., Monteagudo, M., Ferrer, J., Borrell, E., Llor, C., Esquinas, C., & Miravitlles, M. (2016). Treatment patterns in COPD patients with newly diagnosed in primary care: A population-based study. Respiratory medicine , 111 , 47-53. Fromer, L., & Cooper, C. B. (n.d.). Pharmacologic treatment in the management of COPD. Retrieved from
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