Case Study 1: Respiratory Medications (Page 381-421)Gary Burgundy is a 41-year-old Caucasian who has a history of asthma. He is admitted to the
emergency department following a vasovagal response in his home. His wife states that he has
had an upper respiratory viral infection for the past week. As the family was sitting down to
supper, he began coughing violently and then passed out falling in the floor unresponsive. After
15, seconds he regained consciousness unaware of what had happened. He states he has had
asthma since the age of 4 years. Upon admission to the ED, Mr. Burgundy has shortness of
breath. His skin color is pale. His pulse oximetry is 88%. He has inspiratory and expiratory
wheezes throughout the lung fields with slight inspiratory stridor. He has been using his
rescue inhaler at least every 4 hours for two days. He does not use a steroid inhaler. You order an
IV of D5NS at 125 cc/hour with a stat administration of 125 mg methylprednisolone sodium
succinate (Solu-Medrol) IV and every 6 hours. You also order albuterol 0.083% nebulized
solution by inhalation over 5-15 minutes stat and every 6 hours.
2. What are the dosage ranges, action, use, pharmacokinetics, pharmacodynamics, drug-to-drug
interactions, the drug to herbal or food interactions, contraindications, adverse
effects, guidelines for administration, and patient teaching for the administration of
methylprednisolone sodium succinate (Solu-Medrol)?
3. What are the dosage ranges, action, use, pharmacokinetics, pharmacodynamics, drug-to-drug
interactions, the drug to herbal or food interactions, contraindications, adverse
effects, guidelines for administration, and patient teaching for the administration of
albuterol?
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