Practice Quiz

Respiratory Therapist

Category - Initiation and Modification of Interventions

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A patient with end stage COPD has recently changed insurance and has changes to their pharmacy coverage. They are no longer able to afford Advair as their maintenance drug. What medicine could you recommend the physician order as a more cost effective alternative?
  1. Advair 250/50 qd.
  2. Advair 100/50 bid.
  3. Duoneb via nebulization qid.
  4. Albuterol via nebulization qid.
Explanation
Answer: C-A cost effective alternative to Advair discus is Duoneb via nebulization qid.

A patient who is no longer able to afford Advair discus will likely find Duoneb nebulized qid to be a cost-effective alternative. Duoneb is Albuterol and Ipratropium combined to provide short and long acting relief. Albuterol alone will not provide adequate long term relief or management. Advair taken once daily is not advised. It should be taken bid and lowering the dose will decrease effectiveness and likely be the same cost as higher dose.
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