Healthcare - Medication and Dosage for Breathing Problems

Running head: HEALTHCARE
Topic: HEALTHCARE
Name of the Student:
Name of the University:
Author Note:

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.

HEALTHCARE2
Mary- Oh great he would not have to taste the medicine then. Earlier one was bitter in taste
and made his mouth distasteful as I had to chew it.
NP- Well then it is a great relief regarding the medicine! However always remember that
drugs have all possible drug interactions. Thus always consult your healthcare professional
and your general practitioner before taking the medicine (Bateman et al., 2015). The
supplements for the diet would be folic acid, garlic, oolong tea along potassium along with
incorporation of astralagus in your diet.
Mary: Oh nice ! I love garlic and Joseph loves it too as his grandma always makes tasty
dishes with garlic. He would like to take all the supplements in my diet. However will there
be any reaction of any food after taking the drug? Do I have to consider about any particular
food item?
NP: Oh yes absolutely! You should be careful while making dishes with grapefruit and
consume or make him eat only after you have consulted your doctor.
Mary: Oh really! This is sad because Joseph love grapefruit and often eat it with my family
as I always cook good dishes with grapefruit.
NP: Yes but do not worry. You only have to discontinue it for a short span only. However
Joseph should always be careful about your increased chance of alcohol along with you and
family on weekends. Because if the dose is high he will never get rid of your breathing
problems, they will worsen on the contrary (Zheng et al., 2016). Keep his as well yours
consumption within permissible limits and ask his doctor before consuming the drug
alongside alcohol. Always ask his general pracationer before taking alcohol.