HEALTHCARE1
Nurse practitioner- Good morning Mary! How is Joseph’s health condition now? Has there
been any improvement after replacement of earlier doses of beclomethasone with
budesonide?
Mary- Good Morning! He is fine now as there has been improvement after the change of the
drug. But still he suffers from shortness of breaths very often and cannot pursue cycling as he
often need his nebulizer after cycling for 15 minutes.
NP- The last time we had discussed about his medications it has been changed from
bethclomethasone to budesonide (Bassler et al., 2015). The dose of his medications is 0.5 mg
once daily or twice daily of 0.25 mg when you would take only bronchodilators. Moreover, if
you take inhaled corticosteroids it would 0.5once daily as well as 0.25 twice daily or 0.5 mg
twice daily. For oral corticosteroids 0.5 mg would be taken daily or 1 mg daily. Have you
understood the timing of budesonide or you want me to repeat it?
Mary: Yes I have been following the dosage and the medications as per your instructions.
However his doctor has instructed me to strictly adhere to the dosage and get help form you if
any side effects are shown. I still don’t whether I would continue with his cycling exercises
as he likes to ride bicycles.
NP- Mary you should know this new drug budesonide requires the consumption of the
medicine along with food or without food as per the directions of your doctor (Peterson et
al., 2015). You should take this through mouth (Sherlock et al., 2015). He should not sill the
tablets out of your mouth till they have a score line. Heu should take the medicine with a full
glass of water. Moreover, always remember to make him shallow the tablet and do not crush
or chew it.

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Healthcare - Medication and Dosage for Breathing Problems

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