Bibliographic Details
| Title: |
A razón de un caso: seguimiento de un paciente con enfermedad obstructiva pulmonar crónica (EPOC) mediante el servicio de EPOCA. |
| Alternate Title: |
On the Basis of a Case: Follow-Up of a Patient with Chronic Obstructive Pulmonary Disease (COPD) through the EPOCA Service. |
| Authors: |
Deleito Molina, Olga1 olga.deleito@hotmail.com |
| Source: |
Farmacéuticos Comunitarios. 2025, Vol. 17 Issue 4, p87-93. 7p. |
| Subjects: |
CHRONIC obstructive pulmonary disease, SPIROMETRY, CONTINUUM of care, PULMONOLOGY, HEALTH education, RESPIRATORY therapy, MEDICATION reconciliation |
| Abstract (English): |
71-year-old man with multiple pathologies. He goes to the pharmacy and a frequent throat clearing and cough is detected. He says it has been going on for a couple of months. He has tried mucolytics, cough suppressants and flu medications, and nothing calms him down. As a patient with COPD, you are invited to go to the ZAP. During the initial consultation, we provided health education and a spirometry test with the Vitalograph ® COPD-6 (unable). We performed validated tests, reviewed the inhalation technique, device care, and cleaning, as well as the patient's medications. The patient was instructed on proper inhalation technique, as two critical errors were detected. After 6 days, he was given an appointment and the same tests were performed, obtaining acceptable FEV1/FEV6 values, COPD grade = 2, BODEX = 3 (moderate), and corrected inhalation technique, but he did not improve his sintoms. After 7 days, we performed spirometry again, COPD grade = 1, BODEX = 3. The technique still showed no critical errors, so we used the InCheckDial® to detect whether the inspiratory flow was correct, and we detected that the inspiration was too forceful (=90 L/min). The patient was referred to the PCP for treatment assessment with a detailed report suggesting a change of inhalation device. The PCP changed the device to an Ellipta® and requested a follow-up with your pulmonologist. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Varón de 71 años pluripatológico. Acude a la farmacia y se detecta una carraspera y tos frecuente. Refiere llevar un par de meses. Ha probado con mucolíticos, antigripales y antitusígenos, pero no mejora. Al ser un paciente con EPOC le invitamos a pasar a la ZAP. En una primera consulta realizamos educación sanitaria, una espirometría con el vitalograph® COPD-6 (incapaz). Realizamos test validados, revisamos la técnica inhalatoria, conservación y limpieza del dispositivo, y la medicación del paciente. Se instruye al paciente sobre la correcta técnica de inhalación, puesto que se detectaron 2 errores críticos. Tras 6 días se le cita, realizando las mismas pruebas, obteniendo valores aceptables de FEV1/FEV6, grado de EPOC=2, BODEX=3(moderado), y la técnica inhalatoria corregida, pero no mejora su sintomatología. A los 7 días volvemos a realizar la espirometría, grado de EPOC=1, BODEX=3. La técnica sigue sin errores críticos, por lo que se usa el InCheckDial® para detectar si el flujo inspiratorio es correcto, y detectamos que la inspiración es muy fuerte (=90 L/min). Se deriva al MAP para valoración del tratamiento con un informe detallado en donde se sugiere un cambio de dispositivo de inhalación. El MAP cambia el dispositivo a un Ellipta® y solicita revisión con su neumóloga. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
