Deep breathing exercises x 20 times x 3 times/ day. Avoid all exertions. Avoid food after 6pm. Avoid oily foods. Syp. Bronchopyllin tsp tds (Bronchodilator) Bectate inhaler x 1 puff x 2-3 times/ day (Steroid inhaler) Tab. WYSOLONE 5mg 1 bd. Tab. Ozothine 6mg. tds x (Terebanthin) to increase tissue oxygenation in emphysema. If there is foul expectoration of acute exacerbation. Tab. Cephalong DS 1 bd x 5 (Any antibiotic) If patient can afford, Ask him to buy a Nebuliser and reduce oral drugs.
If severe breathlessness:
Oxygen Inj. . Deryphilin 2cc IM/ I.V. or Inj. . Aminophylin 10cc + 25% glucose 10cc x slow I.V. Inj. Decadron 2cc I.V. if resistant to bronchodilators. Nebuliser with asthalin solution. Repeat Bronchodilators as required.
Emphysema is progressive and worsens every year. Teach the patient to live with it, stressing on deep breathing exercises, avoid exertions and low dose steroids for severe cases
