Integrated Cardiopulmonary Pharmacology CASE STUDY 1 A COPD patient COPD patient

Question

Integrated Cardiopulmonary Pharmacology CASE STUDY 1 A COPD patient COPD patient is admitted with pneumonia. He is not able to produce his usual amount of sputum. The patient states that when he does cough up sputum, it is very thick and yellow. Upon auscultation, you note that he has expiratory rhonchi bilaterally and crackles over the right middle and lower lobes. He is already receiving aerosol treatments with albuterol and ipratropium bromide. He is also on antibiotics (a) (b) What other medication may help to reduce the viscosity of this patient's sputum? What other therapies and recommendations do you have for this patient? What would you tell this patient concerning systemic hydration? (c)

Explanation / Answer

1.Drugs Aiiopathy

Generic name: formoterol / mometasone .Its a systemic- bronchodilators

Homoeopathy Drugs

Arsenicum album

Blatta orientalis

Drosera rotundifolium

2. Chest Physiotherapy

Physiotherapists are very skilled at supporting people with asthma. If you have asthma, a physio can help you to take control of it through information, education and their specialist skills.

Specialist skills that physios can offer include showing you how to breathe in a more relaxed way and retraining your breathing. Physios can also advise how to manage symptoms such as coughing, shortness of breath, wheezing and excess mucus.

Physical activity and exercise can be helpful in managing asthma. Physios can advise you on how to become more active and suitable activities for your personal circumstances.

Physios are the third largest health profession after doctors and nurses. They work in the NHS, in private practice, for charities and in the work place, through occupational health schemes.

3

.Since the adult human body is made up of about 60% water, it makes sense that water would play a key role in our basic health – even that of our lungs and pulmonary system. Hydration certainly plays an important role in the ability to thin and clear secretions. As any asthmatic knows, there are episodes of inflammation in which the airways become increasingly filled with mucous. To mobilize and rid the airways of those secretions a person must remain well hydrated.
There have been a number of studies done, particularly in Europe, that show histamine is produced at a greater rate when a person is dehydrated. For those that suffer from any kind of asthma, but allergic asthma in particular, that would be an important component. If histamine is being produced, allergies are triggered, and therefore asthma is aggravated. Another good reason to stay hydrated

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