NR601___WEEK_2_CASE_STUDY_PART_2 Q & A
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
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
