KE is a 66-year-old male with a history of cigarette smoking (still currently smoking), COPD, atrial fibrillation, hypertension, osteoarthritis, and GERD. In this COPD case review, he reports that he is having a more difficult time breathing, in particular, he notes...
In this COPD case study, we outline how to use the GOLD guidelines to guide medication therapy. Here’s the case! KE is a 71-year-old male who has a history of cigarette smoking for 50+ years, COPD, cardiovascular disease, hypertension, peripheral arterial...
You can’t tell everything from a medication list, but you can certainly begin to formulate questions and identify possible areas of concern. What do you notice that seems a little wacky? Here’s a patient with severe asthma, on multiple medications: Advair...
It is well known that beta-blockers can affect the beta-2 receptors and potentially cause issues with breathing. Non-selective beta-blockers like propranolol may be even higher risk for causing these symptoms. I discuss more in-depth about the pharmacology...
A 55 year old female has a history of asthma. She has been on Flovent for a long time for her asthma and well controlled. Insurance formularies change and preferred medications can lead to confusion for patients. In this scenario, it lead to the patient using...
I work with a lot of geriatric patients in my practice on respiratory medications and I get pretty concerned when I start to see patients with COPD, asthma, or other respiratory diseases who have frequent exacerbations that are causing emergency department visits or...
