Analyze the case to arrive at the type of hypersensitivity reaction that the patient is exhibiting. (CO1)
Explain the pathophysiology of the identified hypersensitivity reaction. (CO1)
Identify all subjective and objective information provided in the case. (CO3)
Explain, using pathophysiology, the rationale for each subjective and objective finding. (CO1, CO3)
Identify two types of medications that are strongly recommended for the treatment of allergic rhinitis according to the clinical practice guidelines on the management of allergic rhinitis. (CO2, CO5)
Explain the mechanism of action of the two medication classifications and include how the symptoms of allergic rhinitis are alleviated when taken. (CO2, CO5)
Read the case study listed below.
Refer to the rubric for grading requirements.
Utilizing the Week 1 Case Study Template (Links to an external site.), provide your responses to the case study questions listed below.
You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address:
https://journals.sagepub.com/doi/10.1177/0194599814561600
(Links to an external site.)
You may also use a medication administration reference such as Epocrates to provide medication names.
Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario
A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares.
Case Study Questions
-Pathophysiology & Clinical Findings of the Disease
-Identify the correct hypersensitivity reaction.
-Explain the pathophysiology associated with the chosen hypersensitivity reaction.
-Identify at least three subjective findings from the case.
-Identify at least three objective findings from the case.
-Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
*Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each.
*Describe the mechanism of action for each of the medication classes identified above.
*Identify two treatment options that are NOT recommended
kes and the discipline for crime, and criminal conduct, and the impact furthermore change for laws. Criminology got should make uniquely common in the 19th century concerning illustration an constituent about sickle forward movement the place by and large the public eye endeavoured on distinguish the character for offences, develop that’s only the tip of the iceberg gainful frameworks about criminal treatment and disheartening. In this perspective, couple arranged schools for possibility in criminology in the end emerged, including those two of the most prominent conspicuous schools about thought today, the positivist class that spotlights on the performing actor, and the established class that spotlights on the offence. The Classical School of Criminology is started on the hypothesis that individuals have free in making decisions, and that discipline is capable of deterring crime. The Classical school asserts that regardless of those reality that people are delight looking. Also, despite those certainty individuals all around catch up on their narrow-mindedness, they need aid also prepared to judging more utilising the that’s only the tip of the iceberg best possible approach done a provided for situation. Similarly as such, people would viewed as toward the Classical school similarly as moral creatures with insufficient adaptability will decide amongst correct Furthermore not right. Furthermore, those established class puts stock that when individuals do a criminal act, it may be acknowledged on need been done of their own unrestrained choice. Likewise, this school of thought believe that individuals should be considered or decreed responsible for their wrongful acts. However, the Classical School affirms that a balanced government should uphold disciplines and laws that permit individuals to legitimately judge the moves they can make in given circumstance. The core principle of classical jurisprudence as outlined by Beccaria can be summarised, the law should be restricted the individual as little as possible. The law should guarantee the rights of the accused at all stages of the criminal justice process. Punishment is only justified to an extent that the offender had infringed the right of others or injured the public good. As Beccaria (1761- 1963); put it, ‘it is better to prevent crimes rather than to punish them’. Much of Beccaria’s approach to the prevention of crime is often distilled down to three ideas and they are certainty, celerity and severity. Hobbs and Beccaria has the view that human beings are ‘hedonistic’ in nature. They are driven by pleasure and satisfaction and they try to avoid pain and discomfort.