Tiotropium-inhaler for long-term therapy for a COPD patient

Instructions:

This assignment is a critical thinking assignment to look at why and when specific drugs should be considered for patients. please read the attached case study. you want to consider what health issue/diagnosis is being treated and specific pharmacotherapeutics associated with the drug selected: the drug to be discussed is: tiotropium-inhaler for long-term therapy for a COPD patient.

Focus: the main drug to discuss is tiotropium- the handheld inhaler preparation.
comparison drugs should include other anticholinergics for COPD and long-acting beta-2 adrenergic agonists.

You will need to research scholarly resources in addition to the textbook

please provide a minimum of 4 evidence-based guidelines/articles.
2 of the 4 articles should be a clinical database or a clinical guideline. (a clinical key is a good place)
1 of the references should be from a drug resource. example: Medscape

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