MA a 55yearold patient was recently diagnosed with bronchial

MA, a 55-year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, MA has had three asthmatic attacks that were treated with prednisone and albuterol (Proventil) inhaler. At an office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: day 1—1 tablet 4 times a day; day 2—1 tablet 3 times a day; day 3—1 tablet 2 times a day; day 4—1 tablet in the morning; day 5—one-half tablet in the morning. Explain why the dosage is decreased (tapered) over a period of 5 days.

MA is to take two puffs of albuterol administered by the inhaler. What instructions should she be given concerning use of the inhaler

Solution

Explain why the dosage is decreased (tapered) over a period of 5 days.

Answer:

This is because brochodilators are going to promote dilation of bronchioles with persistent usage over a period during asthmatic attacks. Steroidal anti-inflammatory agents are going to reduce the leukotrienes, allergic agents that stimulate \"asthamatic inflammatory mediator\" by acting on nuclear receptors, their action is long-lasting so that dose is reduced

Que-2: MA is to take two puffs of albuterol administered by the inhaler. What instructions should she be given concerning use of the inhaler

The instruction should include \"adequate dose adjustment in inhaler with albuterol\" under regular asthmatic attacks is essential to reduce sudden asthmatic attack and to promote bronchodilation