AYUNAYUN, KARILEE S.

SUBJECTIVE
-male
-smoker(6 sticks in a day for 50 years)
-type 2 diabetes
-tricycle driver
-difficulty in breathing
-Doxofylline-antitussive
-Salbutamol-relieve symptoms of asthma and COPD
-Ipratropium-bronchodilator
-Metformin-lowers your blood sugar levels
-Insulin r-control high blood sugar
-Acetylcysteine-mucolytic

OBJECTIVE
-COPD
-65 y/o
-height=5’2
-weight=130 lbs

ASSESMENT
-tricycle driver(may trigger his SOB)
-non compliant of medications
-drug interactions
-albuterol + metformin
-Albuterol may interfere with blood glucose control and reduce the effectiveness of
metformin and other diabetic medications.

PLAN
-advice the patient the advantage of his medication for his diabetes.
-advice the patient to refrain from cigarettes smoking.
-advice the patient to use mask to reduce the inhalation of smoke while driving.
-counsel the patient on when and how insulin r is properly administered.
-blood glucose monitoring.
-reduction of activities that may trigger his SOB.
-dose adjustment of your diabetic medications during and after treatment with albuterol.