NAPLEX Quiz
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PERSON-CENTERED ASSESSMENT AND TREATMENT PLANNING
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A 67-year-old woman (weight 62 kg) with COPD presents to the pharmacy with 2 days of worsening shortness of breath and increased sputum volume and purulence. Medical history: COPD (GOLD group D), hypertension; allergies: none. Current medications: tiotropium inhalation 2 puffs daily, budesonide/formoterol 160/4.5 mcg 2 puffs twice daily, albuterol metered-dose inhaler 2 puffs every 4 hours as needed (using every 2 hours today), amlodipine 5 mg daily. Vitals today: oxygen saturation 90% on room air (baseline 94%), respiratory rate 24/min, heart rate 102/min, temperature 37.9°C. Lifestyle: continues to smoke 1 pack/day. Which medication is most appropriate for managing this patient's condition?
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