Respiratory Medication: Comprehensive Case Studies

Case Study 1: Albuterol Inhaler (SABA) - Rescue Therapy

Patient: 16-year-old female with asthma, prescribed albuterol inhaler 2 puffs PRN for wheezing or shortness of breath.

Q1. Highlight assessment findings most concerning for albuterol use:
Q2. Which order should the nurse question?

Q3. Select all teaching points for albuterol:

Q4. Order of priority for severe tachycardia and worsening wheezing:

Q5. Matrix: Common vs. Serious Side Effects:
Q6. Requires immediate provider notification?

Case Study 2: Formoterol (LABA) - Maintenance

Patient: 22-year-old female with moderate persistent asthma, prescribed formoterol inhaler 1 puff twice daily.

Q7. Highlight assessment findings most concerning for formoterol:
Q8. Which order should the nurse question?

Q9. Select all teaching points for formoterol:

Q10. Order of priority for chest pain and palpitations:

Q11. Matrix: Common vs. Serious Side Effects:
Q12. Requires immediate provider notification?

Case Study 3: Beclomethasone (Inhaled Corticosteroid)

Patient: 14-year-old male with persistent asthma, prescribed beclomethasone 2 puffs twice daily.

Q13. Highlight assessment findings most concerning for beclomethasone:
Q14. Which order should the nurse question?

Q15. Select all teaching points for beclomethasone:

Q16. Order of priority for oral white patches and fever:

Q17. Matrix: Common vs. Serious Side Effects:
Q18. Requires immediate provider notification?

Case Study 4: Montelukast (Leukotriene Modifier)

Patient: 12-year-old male with persistent asthma, prescribed montelukast 5 mg PO daily in the evening.

Q19. Highlight assessment findings most concerning for montelukast:
Q20. Which order should the nurse question?

Q21. Select all teaching points for montelukast:

Q22. Order of priority for mood changes and suicidal thoughts:

Q23. Matrix: Common vs. Serious Side Effects:
Q24. Requires immediate provider notification?

Case Study 5: Spiriva (Tiotropium, LAMA) - COPD

Patient: 68-year-old male with COPD, prescribed Spiriva inhaler, 1 puff daily for maintenance.

Q25. Highlight assessment findings most concerning for Spiriva:
Q26. Which order should the nurse question?

Q27. Select all teaching points for Spiriva:

Q28. Order of priority for urinary retention and new shortness of breath:

Q29. Matrix: Common vs. Serious Side Effects:
Q30. Requires immediate provider notification?

Case Study 6: Pseudoephedrine (Oral Nasal Decongestant)

Patient: 58-year-old male with hypertension, prescribed pseudoephedrine 60 mg PO Q6H PRN for congestion.

Q31. Highlight findings most concerning for pseudoephedrine with HTN:
Q32. Which order should the nurse question?

Q33. Select all teaching points for pseudoephedrine:

Q34. Order of priority for severe hypertension and palpitations:

Q35. Matrix: Common vs. Serious Side Effects:
Q36. Requires immediate provider notification?