The purpose of this assignment is to integrate your understanding of cardiorespiratory pharmacology and the impact of medications on therapy through scenario review.

Description

The purpose of this assignment is to integrate your understanding of cardiorespiratory pharmacology and the impact of medications on therapy through scenario review.

Read the following scenario and answer the questions that follow. Use these writing guidelines (3 points) to complete your responses:

Use complete sentences.

Write answers in your own words (no quotes or copy/paste from other sources)

Proofread for correct spelling, punctuation, capitalization, and grammar.

Provide references where appropriate.

Mr. Carson is a 72-year-old male who was recently admitted to inpatient rehabilitation following a 3-day hospitalization for weakness, shortness of breath, dehydration, and fever. Mr. Carson was diagnosed with COPD about 6 months prior. Recently, to help his breathing, he had been sleeping in a recliner at home. Doing so brought on severe lower back pain, which became progressively debilitating. Mr. Carson fell while trying to get from the living room to the bathroom and could not get up. His neighbor found him on the floor and called 911.

Rehab evaluations were completed this morning, with the plan of care to include mobility training, ADL training, balance and endurance exercises, and patient education. You are to begin therapy with Mr. Carson today. In your chart review, you see the following medical history: COPD, hypertension, anxiety, hyperlipidemia, GERD, Smoker x 50 year, quit 4 years ago.

You also see the following medication list:

Salmeterol 50 mcg 2x/day

HCTZ 25 mg 2x/day

Valium 5 mg prn

Lisinopril 20 mg daily

Omeprazole 40 mg prn

Simvastatin 20 mg daily

The attending rehab physician also prescribed oxycodone/acetaminophen every 4-6 hrs for LBP and twice daily albuterol nebulizer treatments. Mr. Carson is currently on 1.5 Liters of supplemental oxygen.

Comprise a table that identifies each cardiopulmonary drug that Mr. Carson used prior to being hospitalized. Include the following categories: (16 pts total)

Explain the rationale for the albuterol nebulizer. Discuss how this might affect therapy, both positively and negatively. (3 pts)

Discuss 2 specific therapy concerns with this patient taking oxycodone. (2 pts)

Compare and contrast beta-adrenergic agents versus anticholinergic agents that are used to treat respiratory conditions. (2 pts)

Identify 3 precautions you will take when working with this patient. Discuss the relation of each to either medication use or the patient’s current status. (6 pts)

Drug classification

Mechanism of action

Common side effects most relevant to therapy

Potential implications for rehabilitation therapies

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Include the term Cardiopulmonary and your Last Name when saving your file. Example: Cardiopulmonary_Smith.docx

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