Ipratropium Bromide and COPD Case Study

Running head: NURSING ASSIGNMENT
IPRATROPIUM BROMIDE AND COPD CASE STUDY
Name of the study
Name of the university
Author note

1NURSING ASSIGNMENT
Answer 1
Ipratropium bromide is the drug which is provided to the patients suffering from chronic
lung disease such as Chronic Obstructive Pulmonary disease (COPD). It soothes the muscles of
the airway and helps the patient with quick relief of their chronic disease. The prescription of the
medication is as follows:
Name of the drug: Ipratropium bromide 250 microgram and 1 ml nebulizer solution.
Dose of the drug: 4 to 5 inhalation
How often it should be used: it should be used 4 to 5 times a day 5 to 6 hours apart.
Answer 2
This is the case study of Jack (64) (pseudo name) admitted to the healthcare facility after
suffering from severe breathlessness and anxiety at 21:30 Hrs. As per the wife of the patient, the
symptoms appeared two days ago and have worsened in the course. As per the patient’s wife,
such symptom developed by the patient 2 years ago for which he was provided with an inhaler
and the doctor identified mild COPD. He was also admitted to the healthcare facility for 5 hours.
The vital sign of the patient observed after his admission to the emergency ward was:
BP: 104/54
Heart rate: 74 Beats per minute
Respiratory rate: 24 Breathes per minute
Temperature: 101 Degree F

2NURSING ASSIGNMENT
BMI: 41
Oxygen saturation level: 90% in room air
The physical assessment conducted mentioned that the skin was pale and dry, and his
abdomen showed no tenderness and was soft due to his obesity. Moist mucus membrane and
normal pupils were observed. After conducting the ABCDE assessment it was found that:
A: severe breathlessness was present in the patient as the lung cavities appreared dilated
B: patient produced high amount of sputum
C: wheezing sound was observed
D: Anxiety was observed
E: all the above symptoms were present in the patient.
As the patient was admitted in the emergency ward and was unable to breathe, one dose
of the Ipratropium bromide inhaler was provided to the patient to provide him immediate relief.
Answer 3
As I was the first line nursing professional included in the care process, I was to provide
the patient with the inhaler Ipratropium bromide so that he could be provided with immediate
relief from his breathlessness situation. I was aware of the inhaler administration checklist and
process mentioned by Li et al. (2017) for nursing professionals as per which the patient should
be provided with 2 to 3 doses at the start so that immediate result could be obtained. However, as
per the strategy for chronic COPD patient management, if the patient is unable to breathe and
due to breathlessness unable to sleep, then after the administration of Ipratropium bromide