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Bupropion Case Paper

Submitted By
Words 2511
Pages 11
I. Subjective Data

A. Chief Complain (CC):

The patient has a complaint of increasing shortness of breath, asthma, the need of

medication renewal, and establishment of a primary provider.

B. History of Present Illness (HPI):

The patient reports having increasing shortness of breath for the past week. He

states he has had asthma as long as he can remember and with the recent heat and

humidity, it has worsened to the point that he has been using his rescue inhaler 6-8

times per day. He reports he began smoking for the past 4-5 months since the

unexpected death of his daughter. He states he is not suicidal at this time; however, he

does report lack of appetite, troubles sleeping, and feelings of depression. The patient

reports …show more content…
PLAN

Prescriptions: Management includes identification and removal of precipitating or aggravation conditions, such as smoking and his depression (Woo & Wynne, 2012). The patient is willing to quit smoking at this time. In order to assist with smoking cessation and the patient’s symptoms of depression, bupropion was prescribed in extended release formula, so the patient would only have to take one pill a day and treat two issues with a single medication.
_Bupropion HCL (ER) 150 mg tablet po daily Dispense: 30 tablets may use generic Refills: 3 Bethany Kirton ____________________ NPI #____________________________
In addition, the patient’s frequent use of his rescue inhaler indicates he needs further medication intervention for his asthma. According to the The Expert Panel Report 3: Guidelines, the goal of therapy should be to reduce impairment and risk through medical management. Since the patient is reporting frequent use of his rescue inhaler and his history of asthma, using the stepwise approach is appropriate in prescribing a combination inhaler of a long acting bronchodilator and an inhaled steroid (Woo & Wynne, 2012).
_Symbicort 80-4.5 mcg/actuation HFA aerosol inhaler 2 puffs using inhaler twice a …show more content…
Along with assisting in depression and smoking cessation, the bupropion may also increase the patient’s appetite and assist him in gaining some weight (Woo & Wynne, 2012)
Health Promotion/Maintenance Needs: This individual has not been seen by a primary provider in one year. While the patient is at the clinic, it is important to establish future visits for primary and health maintenance provisions. It will be important to maintain a supportive environment and assist the individual in realizing the importance of maintaining lung function, health, smoking cessation, and weight management in assisting with his symptoms (Buttaro et al., 2013).
Cultural & Life span considerations: This individual is educated and in his 70’s. It will be important to provide education at his level of understanding while imparting on him the significance of health maintenance and screening. This is especially relevant with the loss of his daughter (Buttaro et al.,

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