NSG6005 Week 4 DQ.docx - What are the appropriate pharmacological therapies to be prescribed for Johnathan Based on the subjective and objective date

NSG6005 Week 4 DQ.docx - What are the appropriate...

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What are the appropriate pharmacological therapies to be prescribed for Johnathan? Based on the subjective and objective date presented, it appears Jonathon is having anasthma exacerbation. His symptoms reflect moderate persistent asthma. According to Up to Date(2017), children with an asthma exacerbation experience a lower risk of admission to the hospitalif they are treated with the combination of inhaled short-acting beta agonists plus anticholinergic versus SABA alone, systemic glucocorticoids, and supplemental oxygen, when necessary.I would give him an albuterol 2.5mg nebulizer treatment due to his respiratory distress and start him on oral steroid. A short burst of oral corticosteroids may be needed to establish control of asthma in children with moderate or severe asthma (Woo & Robinson, 2015). A “burst” dose is 1 to 2 mg/kg/d (maximum 30 mg/d) of prednisone in two divided doses for 3 to 10 days. Per Jonathon’s weight, I would put him on 20mg of liquid prednisone twice a day for ten days. If the“burst” treatment is unsuccessful, the patient would need to be reevaluated and possibly a higher level of care would be warranted. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?The first step in parent and patient education would be the explanation of avoidingasthma triggers. Common asthma triggers include allergens, respiratory infections, irritants, physical activity, cold air, and emotional stress (Fanta, 2019). Also creating an action plan that includes triggers, emergency medications and routine medications will beimportant for not only Johnathan and his mother but also his school and babysitters as well. What is an appropriate clinical assessment tool to be use with Johnathan?One of the most important clinical assessment tools to use when examining Johnathan would be a thorough physical exam and patient history. This includes information about daily routines, medications, sleep patterns, triggers, ect (Dinakar & Chipps, 2017). Objective assessments for monitoring Johnathan’s asthma would be the Childhood Asthma Control Test (C-ACT).
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  • Fall '16
  • Johnathan

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