(Solution) NR 507 Week 1 Case Study; Allergic Rhinitis


Course  

NR 507 Advanced Pathophysiology


Case Study Scenario

A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago.

Case Study Questions

Pathophysiology & Clinical Findings of the Disease 
  1. Identify the correct hypersensitivity reaction.
  2. Explain the pathophysiology associated with the chosen hypersensitivity reaction.
  3. Identify at least three subjective findings from the case.
  4. Identify at least three objective findings from the case.

Management of the Disease

*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.

  1. Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each.
  2. Describe the mechanism of action for each of the medication classes identified above.
  3. Identify two treatment options that are NOT recommended

SOLUTION 

  1. Identify the correct hypersensitivity reaction:

The likely diagnoses of this patient would be allergic rhinitis (AR), however there are methods, diagnostic procedures and tools used to determine a clear diagnosis for this patient such as: screening the patient’s medical and family history, collection of genetic factors and environmental factors. The patient may obtain a skin prick test, patch test or intradermal test through an allergist to determine their sensitivities (American College of Allergy, Asthma, and Immunology, 2020).

  1. Explain the pathophysiology associated with the chosen hypersensitivity reaction:

Allergic rhinitis, also known as hay fever, includes symptoms which affect the nose. It occurs when the body recognizes……..please click the icon below to access full answer at $10