Length: A minimum of 180 words per post, not including references

Citations: At least one high-level scholarly reference in APA per post from within the last 5 years

Number 1 Post: AF

  A twelve-year-old who is actively having an asthma attack while playing sports. Some manifestations of an asthma attack are, wheezing coughing, trouble breathing and feeling of tightness in the chest (Seattle Children’s Hospital, 2022). An acute attack would warrant the use of inhaled short acting beta2 agonist via a metered dose inhaler such as albuterol (Courtney et al., 2005). For a child that has recurrent chronic problems, it would be helpful to add on systemic corticosteroid, and an inhaled corticosteroid for maintenance therapy such as Pulmicort.

     A 19-year-old is asking for contraceptives. I will obtain a pregnancy test. Ask if there’s any prior history of pregnancies or birth. I Will ask the patient how active they are and maybe current partner status. I ask about history of birth control use. I will assess if the patient uses tobacco. I will talk about family planning with the patient and the pro’s and cons of each method such as a daily pill taken by mouth versus a monthly shot, or even an intrauterine device (IUD) that can last up to ten years (Plan Parenthood, 2022). If the patient asks for medication that may help with acne, I would look for medications that contain both estrogen and progesterone. Yaz, generic name loryna, is a medication the patient would take daily containing (3 mg drospirenone/0.03 mg EE) PO qDay for 21 days, then 1 tablet PO qDay for 7 days). The patient asks what medications can help with osteoporosis. Fosamax is a common medication that is prescribe for persons that may be predisposition to bone loss. Fosamax can be controversial due to the mechanism of unable to break down the bone matrix and therefore causing greater bone mass but not helping with brittle disease. Fosomax works by removing old bone mass, allowing the bone-forming cells (Osteocytes), time to build new bone (John Hopkin’s center, 2012).

      A patient with acute gout attack would need to decrease or stop alcohol beverages especially any beer and beverages that are sweetened with high fructose corn syrup. Oral corticosteroids/corticosteroids as well as nonsteroidal anti-inflammatory drugs are the first line treatment in acute onset of gout. Colchicine is an anti-gout medication that acts as an antiinflammation medication, and it acts as a tubulin disruption. Colchicine is often used in acute flare ups of gout as well as a maintenance medication. Colchicine comes in the brand name of Colcrys, has a mechanism of action that prevents microtubule assembly and thereby disrupts inflammation (HR et al., 2022).


Number 2 post: NB

Q1. What treatment should this patient receive to relieve symptoms during an asthma attack?

Asthma is one of the most common childhood diseases, affecting children of all ages. An accurate assessment of the severity of an asthma exacerbation is important to guide clinical decision-making. An exacerbation of