COPD
Subjective evidence :
-c/o Fever, Breathlessness,Since 8 days,cough with
expectoration since 8 days
Objective findings:
X-ray: white patches are seen
Rs :--Crepts,Ronchi present
Lab data:
Hb : 11.9gm
Assessment:
From the subjective and objective evidence it is
diagnoised as COPD
indication for therapy:
fever,coughwithexpectoration,breathlessness
Therapeutic Goals:
Patient Specific:
-Relieve from fever, breathlessness and
cough
Disease Specific:
To eradicate the causitative organism from the
body, to improve the respiratory function.
Assessment of previous therapy: Nil
Assessment of current therapy:
Inj ceftriaxone 1000mg iv 1-0-1
O2 inhalation sos
Asthalin+ ipratropium nebulization 4
th
hourly
Tab Paracetomol 650mgoral sos
Syp Terbutaline sulphate 2.5mg+Bromohexyl
Hcl 8mg +Guaiphensin 100mg + menthol
Inj rabeprazole 20mg iv 1-0-0
Planning
Discharge medication:
Pt is still on bed
Monitoring parameters:
Therapeutic parameters:
monitor for the signs and symptoms
Patient counseling:
Advice to avoid smoking, and tell about the severity of
disease which helps to take medicines regularly.
Advise the patient to avoid passive smoking, free from
dust, chemicals,irritants and smoke.
Avoid roaming in cold weather
And also advice not to be discontinue the drugs.
If any complaint arise consult the doctor as possible as
early.
Patient is advised to avoid OTC medication
Maintain oral hygienic.