mac

Has the patient had hemoptysis or productive cough?

Progression of exercise capacity? How good is breathing today compared to the last visit?

Can s/he produce a new sputum today- if so, give s/he a cup?

Does the patient live nearby? If not, we probably need to set them up for induced sputum?

Airway clearance — acapella valve, incentive spirometry?

Intercurrent infections, recent antibiotics, flu shot?

When was MAC treatment started?

Any adverse effects from the antibiotics?

Has the patient recently seen pulmonary? What are they recommending?

TDM

Medication levels

Ishihara

Aerosolized Amikacin dosing

http://www.biomedcentral.com/1471-2466/7/2

Nebulizer machine from pharmacy

ProAir inhaler

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