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Posted: January 4th, 2023
Post your answers to the 6 questions. Support your rationales with high-level evidence. (See Post Expectations)
A 12-year-old boy has occasional episodes of mild asthma while playing soccer with his friends.
Q1. What treatment should this patient receive to relieve symptoms during an asthma attack?
Q2. If the patient’s asthma attacks occur more frequently, what changes in therapy might be appropriate?
Q1. During an asthma attack, the patient should use a fast-acting bronchodilator inhaler, such as albuterol, to help relieve symptoms. The inhaler should be taken as directed by the healthcare provider, typically every 4-6 hours as needed. The patient should also follow any other treatment instructions provided by their healthcare provider, such as taking prescribed anti-inflammatory medications or avoiding triggers that can worsen asthma symptoms.
Q2. If the patient’s asthma attacks occur more frequently, the healthcare provider may recommend adjustments to their treatment plan. This may include increasing the dosage or frequency of medications, adding additional medications to the treatment regimen, or making lifestyle changes to reduce exposure to asthma triggers. The healthcare provider may also refer the patient to an asthma specialist for further evaluation and treatment. It is important for the patient to follow their treatment plan and to communicate with their healthcare provider about any changes in their symptoms or treatment needs.
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A 19-year-old college student is asking for contraceptives.
Q3. What will you assess to determine if this patient is a good candidate for contraceptives, and what will you prescribe? (Include brand and generic name, route, frequency, and dose). What is the mechanism of action of the contraceptive you prescribed and the adverse effects?
Q4. The patient states she heard a pill can help her acne. What would you prescribe and your rationale? (Include brand and generic name, dose, route, and frequency).
Q5. The patient is concerned because her mother and sister developed fractures in their legs and vertebra after menopause. She wants to know what medication and other advice will prevent osteoporosis. You discuss bisphosphonates. How are they used in the prevention and treatment of osteoporosis?
A 48-year-old man has occasional episodes of gout that are painful and debilitating. He requires drugs to treat the symptoms of acute gout attacks and prevent recurrent attacks.
Q6. How would you treat this patient’s acute gouty attack? Please list the trade and generic name and the dose of therapy. What is the mechanism of action of your choice of prescription?
To treat the patient’s acute gouty attack, the healthcare provider may prescribe a nonsteroidal anti-inflammatory drug (NSAID), such as indomethacin (Indocin) or naproxen (Naprosyn). The usual dose for NSAIDs to treat an acute gout attack is 50-200 mg every 4-6 hours as needed.
The mechanism of action of NSAIDs is to inhibit the production of prostaglandins, which are substances that contribute to inflammation and pain. By reducing the levels of prostaglandins, NSAIDs can help to reduce inflammation, swelling, and pain associated with gout.
In addition to NSAIDs, the healthcare provider may also prescribe a colchicine medication, such as colchicine (Colcrys) or probenecid (Benemid). Colchicine works by inhibiting the movement of white blood cells, which can reduce inflammation and swelling in the joints. The usual dose for colchicine to treat an acute gout attack is 0.5-1 mg every 2-3 hours until relief is obtained, up to a maximum of 8 mg per day.
It is important for the patient to take their medications as prescribed and to follow any other treatment instructions provided by their healthcare provider. If the patient experiences side effects or the medications are not effective in relieving their symptoms, they should contact their healthcare provider for further evaluation and management.
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Expectations
Initial Post:
APA format with intext Citations
Length: A minimum of 500 words, not including references
References: At least 2 high-level scholarly references in APA format within the last 5 years.
Plagiarism free
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