Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents. Case summary: A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

Question

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Answer 1

Question

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day

Two kind verb

Nutrition Internvention

Answer 2

Question

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Expert Solution & Answer

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Answer 3

Question

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 5

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 6

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

Answer 7

Chapter 37, Problem 1CS

(1)

Summary Introduction

To determine:

Define Advair and the meaning of “50 mcg/250 mcg” dose. Also, explain the drug class, its purpose, and its contents.

Case summary:

A 73-year-old woman termed as Ms.B worked in a local traffic tunnel for 25 years had developed the chronic obstructive pulmonary disease (COPD) for 10 years. She takes treatment for her COPD and upper respiratory infection. This is due to her exposure to constant environmental pollutants and cigarette smoking. After her retirement, she was admitted in hospital and quit smoking. Her doctor ordered her oxygen/nasal cannula at 2L/min, methylprednisolone (Solu-Medrol) 125 mg IV push, 80 mg IVPB every 6 hours, Advair 50 mcg/250 mcg (1 dose every 12 hours), and Albuterol 2.5 mg by nebulizer every 4 hours for 2 days, then every 4 hours as needed, piperacillin/tazobactam antibiotic therapy, 3.375 g IV every 6 hours. Her daily weight measurement, vital organ functions with breath sounds and pulse oximetry should be measured in every 2 hours until becoming stable, and chest physiotherapy has to be done twice a day.

Answer 8

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 9

(2)

Summary Introduction

To determine:

The reason behind tapering the methylprednisolone and prednisone before they are discontinued.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 10

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 11

(3)

Summary Introduction

To determine:

Ms. B states, “This is confusing to her. How do I know how many tablets to take? It's different each day!” The ways in which the nurse can help her with the tapering prednisone dosage.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

a) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

b) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

c) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 12

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 13

(4)

Summary Introduction

To determine:

While going over the medications Ms.B asks, “So which inhaler do I take if I feel short of breath? The Advair or the albuterol? Aren't they the same thing?” Find the nurse's best response.

Case summary:

Ms. B’s health condition is stabilized after 2 days and her methylprednisolone is gradually reduced. A week later, her IV corticosteroid injection is stopped and started oral prednisone 40mg/day. Her medical discharge report contains as follows:

d) Prednisone – 40mg/day as PO for 3 days and reduce the dose 5mg/day after.

e) Advair – 50 mcg/250 mcg (1 dose every 12 hours).

f) Albuterol- 90 mcg/spray every 4 hours as needed as inhaler form.

Answer 14

Expert Solution & Answer

Answer 15

Expert Solution & Answer

Answer 16

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Answer 17

Ch. 37 - Prob. 1O Ch. 37 - Prob. 2O Ch. 37 - Prob. 3O Ch. 37 - Prob. 4O Ch. 37 - Prob. 5O Ch. 37 - Prob. 1CS Ch. 37 - Prob. 1NERQ Ch. 37 - Prob. 2NERQ Ch. 37 - Prob. 3NERQ Ch. 37 - Prob. 4NERQ

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Chapter 37 Solutions