7/25/2020
Focused Exam: COPD | Completed | Shadow Health
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Focused Exam: COPD Results | Completed Clinical Simulation 2: Advanced Pharmacology Return to Assignment (/assignments/316904/)
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Overview
Patient Teaching Score: 14.5 out of 16
Transcript Subjective Data Collection Objective Data Collection
Greet the patient Topics priorized for patient teaching
Education & Empathy Documentation
Education Items Greet the patient and explain why you need to educate them.
Debrief Greet the patient and explain why you need to educate them. Medication Selection Patient Teaching Prescription Writing
Hi Debbie. Based on your symptoms and spirometry reading, you have experienced COPD exacerbation associated with your COPD and smoking. I am concern about your lung function and breathing. Your lung function and breathing had declined. I would like to prescribed 3 medications to help with your COPD and smoking cessation.
Statement 26/7/2020 2:49:56 AM
Sure thing, honey.
Model Statement: Hi, Ms. O'Connor. We're going to be going over how to safely take your medications.
tiotropium dry powder inhaler
6 out of 7
Model Plan (1 point) The tiotropium capsules should be inhaled via your inhaler. Do not swallow them (1 point) Only use the tiotropium capsules with the inhaler provided with them (1 point) Inhale each capsule twice to get the full dose of the drug (1 point) Contact your healthcare professional if you experience changes in vision or irritation or pain in your eyes (1 point) Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination (1 point) Discontinue medication and contact your healthcare provider if you experience a bronchospasm shortly after administering the dose (1 point) Keep the tiotropium capsules in their packaging until it is time to use them. Upon removing them from the packaging, use them immediately Topics priorized for patient teaching Education Items (1 point) The tiotropium capsules should be inhaled via your inhaler. Do not swallow them (0.5 points) If you suffer acute symptoms, use your rescue inhaler instead of this one This study source was downloaded by 100000840946462 on 02-16-2022 01:41:58 GMT -06:00 (1 point) Contactfrom your CourseHero.com healthcare professional if you experience changes in vision or irritation or pain in your eyes
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Support
1/6
7/25/2020
Focused Exam: COPD | Completed | Shadow Health (0.5 points) Take a missed dose as soon as possible (1 point) Only use the tiotropium capsules with the inhaler provided with them (1 point) Keep the tiotropium capsules in their packaging until it is time to use them. Upon removing them from the packaging, use them immediately (1 point) Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination The tiotropium capsules should be inhaled via your inhaler. Do not swallow them The tiotropium capsule should be inhaled as powder via your inhaler. Do not swallow them
Statement 26/7/2020 2:55:09 AM
I understand.
Model Statement: This medication comes in capsules packaged with an inhaler. Only use the capsules with the inhaler. Do not eat them or try to consume them in any other way.
If you suffer acute symptoms, use your rescue inhaler instead of this one It is a bronchodilator used for COPD maintenance not an emergency medication. If you suffer acute symptoms such as severe SOB, use your rescue inhaler instead of this one.
Statement 26/7/2020 2:54:10 AM
I'll be sure to do just that.
Model Statement: This is a long-acting medication that does not provide immediate relief if you are suffering an exacerbation. If you do experience an exacerbation, make sure to use your rescue inhaler and not this one.
Contact your healthcare professional if you experience changes in vision or irritation or pain in your eyes Contact your healthcare professional if you experience changes in your vision or irritation or pain in your eyes from taking this medication
Statement 26/7/2020 2:57:26 AM
Oh, dear. I sure hope that doesn't happen to me.
Model Statement: Problems with your eyes, such as changes in vision, pain in your eyes, or irritated eyes, could mean you're experiencing a serious side effect. If any of these things happen to you, contact your healthcare provider right away.
Take a missed dose as soon as possible I will prescribe Tiotropium inhaler for longer term maintenance treatment of bronchospasms due to COPD. It also reduces COPD exacerbation. If you missed a dose, take it as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time
Statement 26/7/2020 2:52:31 AM
Ok. I understand.
Model Statement: If you realize you have missed a dose of this medication, take it as soon as you can. Don't wait until your next scheduled dose.
Only use the tiotropium capsules with the inhaler provided with them Tiotropium inhalation powder is a cartridge that is inserted into a special inhaler device. Use it with the inhaler provided with the medication.
Statement 26/7/2020 2:56:28 AM
Okay.
Model Statement: This medication comes in capsules packaged with an inhaler. Do not try to use the capsules with an inhaler other than the one that came with them.
Keep the tiotropium capsules in their packaging until it is time to use them. Upon removing them from the packaging, use them immediately
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7/25/2020
Focused Exam: COPD | Completed | Shadow Health Do not remove a tiotropium cap from its blister pack until you ready to place the capsul into the inhaler device and use the device. Use it immediately
Statement 26/7/2020 3:00:12 AM
Understood.
Model Statement: Store the capsules in their packaging, and don't take them out of their packaging until you're ready to use them.
Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination.
Statement 26/7/2020 2:58:48 AM
I'll be sure to do that.
Model Statement: Problems with urination, such as difficulty urinating, painful urination, or needing to urinate often, could mean you're experiencing a serious side effect. If any of these things happen to you, contact your healthcare provider right away.
albuterol / ipratropium
4 out of 4
Model Plan (1 point) Do not use this drug more than recommended by your healthcare provider (1 point) Take a missed dose as soon as possible (1 point) Put cap back on after using inhaler (1 point) Prep the inhaler before first use Topics priorized for patient teaching Education Items (1 point) Do not use this drug more than recommended by your healthcare provider (1 point) Seek medical attention right away if you are not able to get a breathing attack under control (1 point) Prep the inhaler before first use (1 point) Put cap back on after using inhaler Do not use this drug more than recommended by your healthcare provider I have prescribed you albuterolipratropium a combination drug, a rescue drug for COPD exacerbation or bronchospasm. This drug help open the airways in your lungs. Do not use this drug more than the recommended by your healthcare provider. Since it is a rescue drug, use only as needed for respiratory distress. This is not use for maintenance every day.
Statement 26/7/2020 3:03:44 AM
Okay.
Model Statement: Do not use this medication more times than your healthcare provider has recommended.
Seek medical attention right away if you are not able to get a breathing attack under control Seek medication attention immediately if you are not able to get your breathing attack under control.
Statement 26/7/2020 3:06:04 AM
I sure hope that doesn't happen.
Model Statement: If you experience a bronchospasm and cannot get your breathing under control after taking this medication, seek medical attention right away.
Prep the inhaler before first use Prep the inhaler before first use to prime it. Do not shake the inhaler
Statement 26/7/2020 3:05:30 AM
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3/6
7/25/2020
Focused Exam: COPD | Completed | Shadow Health I'll be sure to keep that in mind.
Model Statement: Prep your inhaler before the first use by shaking well, and then spraying two test sprays into the air. Shake between each test spray.
Put cap back on after using inhaler Remember to put the cap back on after using the inhaler to ensure medication potency
Statement 26/7/2020 3:04:34 AM
Okay.
Model Statement: Remember to put the cap back on your inhaler after using it.
varenicline
4.5 out of
Model Plan (1 point) Take missed doses as soon as possible (1 point) Take after meals with a full glass of water (1 point) Begin smoking cessation counseling (1 point) Do not take extra doses (1 point) Common side effects include GI problems Topics priorized for patient teaching Education Items (1 point) Discontinue and contact your healthcare provider if you experience hallucinations (1 point) Contact your healthcare provider if you have mood or behavior problems, such as suicidal ideation or depression (1 point) Take after meals with a full glass of water (0.5 points) Nicotine withdrawal symptoms may still occur (1 point) Begin smoking cessation counseling Discontinue and contact your healthcare provider if you experience hallucinations Discontinue and contact your HCP if you experience hallucinations
Statement 26/7/2020 3:10:15 AM
That doesn't sound fun, but hopefully it won't happen.
Model Statement: Stop taking this medication and contact your healthcare provider if you experience hallucinations.
Contact your healthcare provider if you have mood or behavior problems, such as suicidal ideation or depression Contact your HCP if you have behavior problems such as suicidal idea or depression
Statement 26/7/2020 3:10:45 AM
That's awful scary. Are you sure I should be taking this medicine?
Yes. I understand your concerns about possible mental health changes. We will continue to monitor your status. If you or daughter notice any mental health changes, please do not hesitate to contact us. I recommend this medication because it is easier medication regiment to follow.
Statement 26/7/2020 3:13:56 AM
Alright. As long as you think it will work.
Model Statement: If you start to think about suicide or start having suicidal behavior, stop taking this medication right away and contact your healthcare provider.
Take after meals with a full glass of water
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4/6
7/25/2020
Focused Exam: COPD | Completed | Shadow Health As for your smoking cessation, I prescribed varenicline, a medication that will decrease your desire to smoke.
Statement 26/7/2020 3:07:21 AM
I appreciate you letting me know.
Model Statement: You should take this medication with meals.
Nicotine withdrawal symptoms may still occur Nicotine withdrawal symptoms may still occur whether you take this medication or not. This is due to your body responding to you not smoking.
Statement 26/7/2020 3:09:50 AM
I've been down before. It's important to quit smoking.
Model Statement: While this medication is intended to aid smoking cessation, you may still experience some symptoms of nicotine withdrawal.
Begin smoking cessation counseling Make sure to take it after meals and with a full glass of water. It is also important that you begin smoking cessation counseling. This medication is used a week before or during smoking cessation, thus. smoking cessation counseling will help support you starting to quit and maintaining it.
Statement 26/7/2020 3:09:03 AM
I won't stop trying to quit, no matter what. I have to make it happen this time.
Model Statement: In addition to taking this medication, you should seek smoking cessation couseling and therapy. This will increase your chances of success.
Say Goodbye Topics priorized for patient teaching Education Items Educate the patient on anything else and say goodbye Educate the patient on anything else and say goodbye It is important that you try to eat well and get some light exercise when your COPD symptoms have been alleviated. Not exercising can exacerbate your symptoms and some exercise will help you breathe easier and build lung capacity. I hope these medication will help with your breathing and smoking cessation. Thank you for coming in to the clinic. Good bye.
Statement 26/7/2020 4:13:26 AM
Ok. See you later.
Model Statement:
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