answer this question…………..
Marissa is a 7 year old female coming to the clinic with increased wheezing, coughing, and difficulty breathing. She was diagnosed with asthma 2 years ago. She uses an albuterol inhaler to manage her symptoms and has been using it regularly 3 â€“ 5 times a day for the past 3 months.
Medications include Albuterol HFA 2 puffs Q4H prn. Childrenâ€™s multivitamin QD. Childrenâ€™s chewable Vitamin C tablet QD.
ROS: A 14 point review of systems was negative except what is noted above.
GEN: well-developed child in mild distress at visit.
VS: BP 121/78, HR 94, RR 16, T 98.5
CHEST: wheezing on inspiration and expiration
Describe your differential diagnosis list and identify your most likely primary diagnosis. Thereafter describe your next steps diagnostically and in the way of medication changes in detail with inclusion of rationale and mechanism of action.
. I am a difficult grader, I expect “small research papers” each week.***In addition, you must post substantively and at a graduate student level to the threaded discussion questions, I grade for correct pharmacological information (included but not limited to mechanism of action, dose, drug interactions, etc.) posted in response to case study discussion prompt questions. I also specifically focus on whether or not you actually answered the prompt question When you discuss a drug, make absolutely sure you know the â€œnitty-grittyâ€ details; otherwise, your grade will reflect that lack of knowledge and the evident lack of preparation: I will not give credit for â€œfluffâ€ or â€œfillerâ€ information. Three pages of irrelevant information will achieve a higher point deduction than 1 page of concise, pharmacologically correct information that specifically answers my questions. When asking for differential or primary diagnoses, medication choices, etc, I expect a brief rationale for each â€“ simply providing a list will not suffice. I expect that each diagnosis, drug, or treatment you employ to be supported by evidence from the scholarly literature that is utilized by the practitioner (MD, NP, PA, etc.), NOT the general public. Do not support a decision using information from patient-geared sources (i.e. mayoclinic.org, WebMD, etc.).This is a pharmacology course, and drugs discussed should have an inclusion/discussion of their known and/or theorized mechanism of action. We will heavily focus on mechanism in this course and how it directly relates to treatment and outcome of pathophysiological conditions.