THE DRUG MANAGEMENT OF ACUTE EXACERBATION OF CHRONIC ASTHMA IN GRAVE’S DISEASE

THE DRUG MANAGEMENT OF ACUTE EXACERBATION OF CHRONIC ASTHMA IN GRAVE’S DISEASE (HYPERTHYROIDISM) IN A 33 YEAR-OLD FEMALE WISHING TO GET PREGNANT: A CASE STUDY

Task 2 Case Scenario

Jolene is a 33-year-old woman living with her husband on a cattle farm in Dalby. She presents to the Dalby emergency department complaining of a racing heart, palpitations, shortness of breath and a headache. On examination Jolene has Tachycardia, Tachypnoea, Angina, Hypertension, anxiety and tremor.

Q1. Explain these terms and provide examples of what observation data could be charted to represent these signs and symptoms (200 words). (You are the emergency nurse).

Q2. What immediate action would you take to assess and monitor these signs and symptoms? (150 words)

Q3. Explain the pathophysiology of Asthma (300 words)             The pathophysiology of asthma as an allergic condition centers on the respiratory system, specifically the lungs.

Q4. Provide the generic details of these medications and explain their indication and action (200 words)             Ventolin is a beta-2 adrenoceptor agonist (sympathomimetic) that is also known by the names salbutamol or albuterol.

Q5. What is Graves’ disease? (100 words)             Graves’ disease or Graves’ hyperthyroidism is a condition that is caused by an autoimmune reaction in which the thyroid gland is stimulated to grow bigger and produce abnormally high amounts of thyroid hormones.

Q6. Describe antithyroid drug treatment for Graves’ disease (150 words)

Q7.Explain the rationale for this combination of drug therapy and discuss the interactions with the bronchodilators already used (200 words).

Q8. How would you respond to Jolene? What advice would you give her about her existing condition and drug therapy related to pregnancy? Write your response as if you were speaking to Jolene. That is in clinical conversation language instead of academic language. Consider your professional codes and standards when writing your response (200 words).

Graves’ hyperthyroidism which you suffer from significantly affects the ability of women to get pregnant. Because of the high levels of the thyroid hormone, the menstrual periods become irregular such that you may not ovulate each month.

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