Occasional episodes of mild asthma while playing soccer

 

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?
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?

 

Sample Solution

Asthma is a chronic condition that affects a person`s airways. It often develops during childhood, although adults can develop it too. The most common kinds of asthma are mild intermittent asthma and mild persistent asthma. When an individual has asthma, their airways can become swollen and inflamed. This may lead to coughing, wheezing, chest tightness, and difficulty breathing. A short-acting beta2-agonist, such as albuterol, can help relieve symptoms during an asthma attack. A doctor will typically recommend inhaled corticosteroid (ICS) therapy as the first-line of treatment if a person has mild persistent asthma. ICS therapy works by reducing inflammation in the airways and is effective at preventing flare-ups.

the dopamine-creating neurons from substantia nigra which in ordinary circumstances supply dopamine to the corpus striatum, a district in the cerebrum that controls oblivious muscle development. It is viewed as that for each 10 years of life we lose somewhere in the range of 9 and 13% of dopamine delivering neurons.

2. Portray the side effects of Parkinon’s infection.

– Quake of the hands, arms, legs and face; happens in 70% of the patients

– Bradykinesia (gradualness of development)

– Unbending nature or firmness of the appendages and trunk (obstruction of the aloof development of the appendages)

– Postural flimsiness (weakened equilibrium and coordination)

– Emotional smoothing (the patients have almost no look and squinting of the eyes)

3. Know the significant gatherings of medications utilized in the treatment of Parkinson’s sickness. Have the option to give an illustration of each. Relate the utilization of the medication to the pathophysiology of Parkinson’s illness.

– Drug treatment is centered around reestablishing practical harmony among dopamine and acetylcholine inside the corpus striatum.

– These medications are ordered into dopaminergic and cholinergic blockers

– Dopaminergic drugs are utilized to increment dopamine levels. Medication of decision is levodopa joined with carbidopa and advertised under the name Sinemet or Parcopa.

– Different methodologies are utilized to hinder chemicals that typically annihilate levodopa and dopamine (Tolcapone, entacapone, rasagiline and selegiline). Drugs called dopamine agpnists, like Apomorphine, bromocriptine (Parlodel), pramipexole (Mirapex) and ropinirole (Requip) straightforwardly enact the dopamine receptors.

– Cholinergic blockers or Anticholinergic medications repress the impact of this synapse in corpus striatum by hindering the receptors. Benztropine (Cogentin), diphenhydramine (Bemnadryl) or biperiden (Akineton) are illustration of anticholinergic medications utilized for Parkinsonism.

4. The blend of levadopa and carbidopa is a medication called Sinemet. Depict the elements of these two medications in Sinemet. What is the upside of having carbidopa given with levadopa instead of giving levadopa alone?

– Levodopa, a forerunner of dopamine crosses the blood-cerebrum hindrance rather than dopamine. In the mind this substance is changed into dopamine. Then, at that point, it is in this way delivered by the synapses considering further developed capability of the development control focuses of the mind.

– Since levodopa can be separated by the blood chemicals called amino-corrosive decarboxylases before it can arrive at the mind, it is constantly joined with a catalyst inhibitor called carbidopa. Together, this blend is realized under the trademark Sinemet.

– Carbidopa alone can build the centralization of dopamine and levodopa in the mind.

5. Patients who are taking levadopa alone should be told to keep away from a certa

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