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Treatment Plan for COPD Patient: Medication, Testing, Education, and Follow-up, Exams of Nursing

University of RedlandsNursing

A detailed treatment plan for a copd patient, including medication prescriptions, additional testing recommendations, patient education, and follow-up procedures. The plan is based on the patient's spirometry results, negative chest x-ray, and the gold (global initiative for chronic obstructive lung disease) guidelines. The document also includes a primary diagnosis, icd-10 code, and a list of active problems and changes.

Typology: Exams

2023/2024

Available from 04/26/2024

VerifiedBiologists
VerifiedBiologists 🇺🇸

233 documents

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NR601_WEEK_2_CASE_STUDY_PART_2 Q & A. Download to
score
I. Treatment Plan
•Medication
oBased on the severity of this patient’s COPD and the FEV1/FV ratio post use of a
bronchodilator, it is imperative that a bronchodilator along with a long acting
musinaric (LAMA) is prescribed. The GOLD recommended start treatment is
(GOLD, 2019). It is recommended to start monotherapy with an inhaled
bronchodilator and anticholinergic treatment.
Tiotropium dry powder inhaler 18mcg
Sig: Take two puffs from 1 capsule 1x
daily Dispense: 30 capsules
Refills 1
Albuterol/ipratropium inhaler
Sig: Take 1 puff four times day as
needed Dispense: 1 canister 120 metered
doses
Refills 3
•Additional testing
oI do not believe any additional testing is necessary.
•Patient education
pf3
pf4

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Download Treatment Plan for COPD Patient: Medication, Testing, Education, and Follow-up and more Exams Nursing in PDF only on Docsity!

NR601_WEEK_2_CASE_STUDY_PART_2 Q & A. Download to

score

I. Treatment Plan

  • Medication o Based on the severity of this patient’s COPD and the FEV1/FV ratio post use of a bronchodilator, it is imperative that a bronchodilator along with a long acting musinaric (LAMA) is prescribed. The GOLD recommended start treatment is (GOLD, 2019). It is recommended to start monotherapy with an inhaled bronchodilator and anticholinergic treatment. Tiotropium dry powder inhaler 18mcg Sig: Take two puffs from 1 capsule 1x daily Dispense: 30 capsules Refills 1 Albuterol/ipratropium inhaler Sig: Take 1 puff four times day as needed Dispense: 1 canister 120 metered doses Refills 3
  • Additional testing o I do not believe any additional testing is necessary.
  • Patient education

o When using the inhaler for the first time, it is important to prime the inhaler/ shake the inhaler for five seconds, press down the canister with the index finger with the inhaler away from face, wait a few seconds, shake the inhaler, press the canister down again, and repeat the last step two more times (DePietro, et al., 2018). o Getting all recommended vaccinations such as pneumococcal, flu, and pertussis vaccine, is an important part of managing COPD because getting sick with a

DePietro, M., Gilbert, I., Millette, L. A., & Riebe, M. (2018). Inhalation device options for the management of chronic obstructive pulmonary disease. II. Primary Diagnosis Considering the patient’s Pre and Post Bronchodilator Spirometry results along with his negative CXR, it is evident that this patient has chronic obstructive pulmonary disease (COPD) Pertinent Positive Findings

  • Pre-Bronchodilator FEV1/FV = 52%
  • Post Bronchodilator FEV1/FV = 52% Pertinent Negative Findings
  • CXR Negative for infiltrates or consolidations
  • Cardiac and mediastinal silhouettes normal
  • No hilar enlargements are evident
  • Osseous Thorax intact
  • Based on information, COPD (ICD J44.9) is my primary diagnosis for this patient, and with the FEV1 on the spirometry being 47%, he has stage 3 COPD because if the FEV is between 30-50%, the classification is stage 3 (Gentry & Gentry, 2017). III. ICD – 10 Code COPD (Unspecified) ICD-10 J44.9.