Reference no: EM133323223

Discussion Question - ADVANCED PATHOPHYSIOLOGY

Two-week-old Tabitha has infant respiratory distress syndrome. Eighty-year-old Anthony has emphysema, and 50-year-old Jenny has pulmonary fibrosis.

Question 1. Why are the mechanics of breathing greatly compromised in all these cases?

INSTRUCTIONS: Please Use the Following:

1. TEXTBOOK:

Norris, T.L., (2019). Porth's Pathophysiology: Concepts of Altered Health States (10^th ed.). Wolters Kluwer

2. Two or three references that are relevant to the content and published within the last five years.

3. Reference list must be in APA 7^th edition format.

4. 300-word count excluding reference list (Do not include the question in word count)

• Thorough identification of the importance of the subject matter to the individual, clinical, and professional.
  • Supports discussion concepts through evidence-based information.
  • Clear critical thinking acknowledges application, analysis, synthesis, and evaluation.
• No grammar, word usage, or punctuation errors.
• Overall style is consistent with professional work. • Writing style facilitates communication.
• No Plagiarism

 Additional Instructions:

**Include a description of the injury at the cellular level.

Assignment Question - ADVANCED PHARMACOLOGY

1.       TEXTBOOK:

Woo, T.M., & Robinson, M.V. (Eds.). (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers (5^th ed.). F.A. Davis Company

2.      Chapters 14, 16, 21. 25, 32, 46

Question:

Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however, her respiratory symptoms brought her to your office today.

History - Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).
Social - Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA - Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS - Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.

02 98% and FEV 70%

Directions:

1. Construct a narrative document of 4-5 pages (cover page or reference page not included in the 4-5 pages).
2. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.
3. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
4. Describe community resources (using your own community) currently available in your state/city to support this patient.
5. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.
6. Utilize national standards, your pharmacology and/or pathophysiology book, and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts.
7. Use a minimum of three references relevant to the content and published within the last five years to support your concepts.
8. Utilize correct APA formatting (7th edition) and mechanics of professional communication.

Additional Instructions:

Start with the "obvious" management of asthma in the pregnant female.

This would include things like what medications are safe. The next step is to consider how the patient can get these medications without insurance. This could include social places such as churches, samples, or emergency approvals.

Consider any risk factors such as smoking, housing, and injury due to domestic violence and then look at what type of resources are available and what you would do to bridge the care while she waits for an appt with OB.