Please note that Wikipedia and the Better Health Channel are not considered as suitable academic references. 1. What is your understanding of the link between smoking and Chronic Obstructive Pulmonary Disease (COPD)? 2. What medications have been prescribed for Mrs. Johnson and in what ways do the actions, interaction/s and possible effects of each drug relate to her condition? 3. In the acute care setting, how would you evaluate the effectiveness of Mrs Johnson’s Salbutamol dose? 4. How would you respond to Mrs Johnsons’ admission that she does not always take her medication? 5. What specific information would you provide to Mrs. Johnson on discharge with regards to monitoring and evaluating the effectiveness of her medication therapy? Marking Criteria Answers questions in an informed and relevant manner demonstrating evidence of in-depth research and reading Writes in an appropriate academic style with correct spelling and grammar References correctly according to the Harvard style Appendix B: Case Study for Assessment Task 2. Mrs. Johnson, (pseudonym), a 50 year old woman, was diagnosed with COPD 5 years ago. She presents with worsening dyspnoea, cough and increasing purulent sputum production over the past 3 days. On examination her BP is 130/80 mm Hg, pulse 102, respiratory rate 18 and temperature 37.8 ° C. Auscultation of the chest reveals a widespread expiratory wheeze and inspiratory course crackles in the left lung base. She is dyspnoeic but able to speak in whole sentences. No Cyanosis is present. Mrs. Johnson previously smoked 25 cigarettes per day but has now cut down to 10 per day. She has attempted to quit smoking on several occasions without success. Mrs. Johnsons’ regular medications are: 1. Tiotropium (Spiriva) 18 micrograms, daily. 2. Salbutamol (Aimor, Asmol, and Ventolin) metered dose inhaler (MDI) 200 micrograms every 4-6 hours, prn. 3. Indapamide (Dapa-tabs, Natrilix) 2.5 milligrams, man & #233;. 4. Atorvastatin (Lipitor) 10 milligrams, man & #233;. On admission she was commenced on: 5. Amoxycillin 500 milligrams three times daily 6. Prednisolone 50 milligrams mane (with a reducing dose after 14 days) Further discussion identifies Mrs. Johnsons’ lack of understanding of the purpose of her medicines and she admits to not always taking her tablets. She has a very supportive husband of 25 years, however due to her fluctuation in health status she is considering an early retirement from her position as a teacher; she confides that this may place a strain on their marriage. Mrs. Johnson states that she ‘hates being sick’ and ‘wants to get out of hospital as soon as possible’. This Case Study is adapted from National Prescribing Service Limited (NPS) Case Study 42: Managing COPD exacerbations. http://www.nps.org.au/resources/Case_Studies/Case_42/case.pdf We need 8-10 references, 1500-1700 words