Discussion

Assignment 1: Altercation Questions

Select one of the two questions from the altercation questions listed below.

Be abiding to acknowledge to the catechism application the acquaint and cant begin in the reading. Justify your answers application examples and reasoning. Abutment your answers with examples and analysis and adduce your analysis application APA format.

Discussion Catechism 1

SE is a twenty-two-year-old Caucasian woman who was diagnosed with asthma at age seven. According to her medical record, she has "mild persistent" asthma. Today, she letters that she has been application her albuterol metered-dose inhaler (MDI) about three to four canicule per anniversary over the aftermost two months. Over the accomplished week, she admits to application albuterol already daily. She has been alive by a ahem three nights during the aftermost month. She states she abnormally becomes abbreviate of animation back she exercises. However, she additionally admits that the conciseness of animation is not consistently brought on by exercise. She additionally has a fluticasone MDI, which she uses "most canicule of the week." She has been ailing alert in the aftermost year for ailing controlled asthma and has been to the emergency administration (ED) three times in the aftermost six months for the aforementioned problem. Her lab assignment is all aural accustomed limits, with the barring of a absolute animal chorionic gonadotropin (HCG). Answer the afterward questions:

  • What advice in the case abstraction suggests that her asthma is not able-bodied controlled?
  • What factors could possibly advance to this?
  • How would you allocate the affection based aloft the National Institutes of Health (NIH) guidelines?
  • With the acceptance that she is pregnant, how would you adapt her analysis for asthma?

Support your responses with guidelines, including the NIH guidelines, for administration of asthma during pregnancy. Use alternative peer-reviewed accessories as bare to abutment specific aspects of your plan.

Discussion Catechism 2

TJ is a fifty-five-year-old badge administrator who presents to the dispensary with complaints of epigastric affliction for two weeks. He has been demography over-the-counter (OTC) Zantac after relief. He was diagnosed about a year ago with a bleeding ulcer, and he expresses apropos that the accepted affection admonish him of that event. At that time, he was accustomed "multiple prescriptions" for his stomach, but he did not complete the advance of analysis because he began to feel better. He additionally has osteoarthritis in his wrists and hips, for which he takes OTC NSAIDs. He smokes one to two packs per anniversary and drinks an boilerplate of one alcoholic cooler daily. His basic signs and claret assignment are all aural accustomed limits. Answer the afterward questions:

  • What added testing would you advance at this point?
  • Describe any and all variables that could be accidental to his symptoms.
  • What alterations would you advance in his treatment? Be abiding to accede added diagnoses and whether prophylaxis would be adapted for NSAID-induced ulcers.

Support your responses with guidelines you locate in the abstract and peer-reviewed accessories as bare to abutment your ideas.

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