Tiotropium nursing considerations
Common Questions and Answers about Tiotropium nursing considerations
spiriva
I take Spiriva Respimat (tiotropium bromide) 2.5 mcg/actuation, and Wixela (fluticasone propionate salmeterol inhalation powder) for my COPD. Is there a sequence I should be taking these meds in? Is there a time frame I should use between the two meds?
Yes, there are. Spiriva® HandiHaler® (tiotropium bromide inhalation powder) is one and Serevent® Inhalation Aerosol (salmeterol xinafoate) another. Each is a bronchodilator and capable of giving good relief of shortness of breath.
If from the lungs, you could be experiencing Spiriva® HandiHaler® (tiotropium bromide inhalation powder) withdrawal symptoms, depending on what type of lung problem was being treated with the Spiriva® HandiHaler® (tiotropium bromide inhalation powder). These symptoms, along with your arms feeling weak and heavy, could all be due to anxiety, but could also be symptoms of more serious disease of the heart or lungs. For that reason, you do need to see your doctor to sort this out.
This would include a long-acting bronchodilator, such as Serevent® Inhalation Aerosol (salmeterol xinafoate), Foradil® Aerolizer™ (formoterol fumarate inhalation powder) or Spiriva® HandiHaler® (tiotropium bromide inhalation powder) along with an inhaled steroid. Another potentially helpful, oral medicine is called theophylline. Your doctor may also want to prescribe this.
You should have your blood oxygen level checked, in case it is low and you would need supplemental oxygen.
Spiriva® HandiHaler® (tiotropium bromide inhalation powder) has a maximum duration of action of about 36 hours. To be safe, you would want to be off the medicine for 48 to 72 hours before the spirometry. It would have been preferable, but not mandatory to do the pulmonary function tests (PFTs) at the time the diagnosis of chronic lung disease was made especially if the diagnosis was unequivocal. The other important question would be, “Why 3 CT scans, presumably of your lungs, in 16 months?
Cause of low DLCO and drop in it from test 1 to test 1? I am currently on tiotropium bromide and salmeterol/fluticasone propionate. My reason for posting this is one doc is pessimistic and the other highly optimistic.
Thank you.
Spiriva contains tiotropium bromide which is an anticholinergic bronchodilator. So, yes, both have action against acetylcholine recptors and both are efefctive bronchodilators. You can take any one of them.
Indacaterol is an ultra-long-acting beta-adrenoceptor agonist. So, it gives bronchodialation for a much longer time. It is a more recent drug so long term efficacy data are not available. However, available data does show a marked benefit in individuals with COPD.
I think it's 40, but surely if there are special considerations, i.e. your having had bc, or she has symptoms, etc, a mammogram can be done earlier.
This baseline view is important to have and usually it's recommended around the age of 40?
On the other hand, and since your daughter is breast feeding, it may be good to wait until she stops nursing for the purpose of getting a more accurate picture.
There are so many other considerations. What is your genotype? What is the stage of your liver disease? Do you have a support system in place? How old are you and what are your other medical conditions if any? These are all important considerations.
Nonspecific right cardiophrenic region mass. Considerations include pericardial cysts, fat pad lipoma, aneurysm, Morgagni hernia, or pulmonary neoplasm. CT recommended to further characterize.
ALERT: Abnormal finding requiring followup.
"other considerations" are your risk status and likelyhood of infection. As for that, the bumps you have noted are not due to HIV. I would bet a lot of money that you do not have HIV. The risk of getting HIV from performance of oral sex is estimated to be less than 1 in 10,000 if your partner is infected and we believe that estimate is likely too high.
Teratogenic effects were not observed in animal studies. Diphenhydramine crosses the human placenta. One retrospective study showed an increased risk of cleft palate formation following maternal use of diphenhydramine during the 1st trimester of pregnancy; however, later studies have not confirmed this finding. Signs of toxicity and symptoms of withdrawal have been reported in infants following high doses or chronic maternal use close to term.
Hello there all,
I'm curious about cryfacial but rather I realize it includes having your body in frigid temperatures with the objective of diminishing irritation.
I just ran a google search on cryotherapy and tinnitus.
Does anyone have any considerations on this?
Q: "I need to know if having them BOTH requires any further investigations or considerations ?!!"
>>>>Concomitant condition with MVP and incomplete RBBB can be more serious than having one or the other. If MVP is serious such as to reduce the cardiac output, the cardiac output is reduced, the heart will over compensate with an enlarged heart. An enlarged heart can effect the electrical pathways and that with RBBB can cause ventrical tachycardia.
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