Clinical Pharm Lab
Non- Pharmacologic Treatment
•To optimize the management of an asthmatic patient, it is extremely important to identify and avoid factors that may worsen the disease.
•Reducing exposure to animal dander, dust mites, cockroaches, and other environmental triggers can improve asthma control.
•Patients sensitive to dust mites should encase their mattress and pillow in an allergen-impermeable cover and wash the bed linens weekly in hot water.
•Cockroaches can be controlled by removing exposed food and garbage and using poison baits and traps in lieu of other chemical agents.
• Indoor air pollution, especially tobacco smoke, also contributes to airway inflammation and bronchial hyperresponsiveness.
• Reducing exposure to these allergens and irritants can decrease airway inflammation and thereby reduce symptoms and medication requirements. Failure to control these exposures will make the asthma more difficult to manage.
Demographic and Administrative Information
Name: Lopez, Rio
Ward/Bed No. :4-10
Age/Sex:43/F
Case No. 783085
Date of Admission:
4/20/11
Weight: 65kg
Resident In Charge: R.M
MD
Date of Discharge: 4/22/11 Height: 5 f
HISTORY OF PRESENT ILLNESS
LIFE STYLE:
Non- Diabetic
Asthmatic; No other morbidities
(+) Smoking (18 packs year smoking) (+) occasional alcoholic beverage drinker Works as a call center agent
1week PTA:
Symptoms:
Daily Cough that worsens at night
Chest Tightness
Weezing and Difficulty in Breathing
Patient was using salbutamol inhaler as needed and prednisone 2mg tablet.
Patient is also complaining of painful urination, sore throat and foul vaginal discharge. PAST MEDICAL HISTORY
FAMILY MEDICAL HISTORY
(-) HTN
(+) ASTHMA
(-) DM
(+)Allergies with nuts amd acetamenophen
(-) kidney disease
(+) CS-twice
(+) DM-mother
(+) PTB-father
(+)- bronchial asthmasiblings
ROS
PRESENT WORKING IMPRESSION
(+) HIGH PITCHES
WHEEZES
FEV1 of less than 40%
PEF variability of > 30%
(+) Cervical gram stain
SOB
Bronchial Asthma
Bacterial
•To optimize the management of an asthmatic patient, it is extremely important to identify and avoid factors that may worsen the disease.
•Reducing exposure to animal dander, dust mites, cockroaches, and other environmental triggers can improve asthma control.
•Patients sensitive to dust mites should encase their mattress and pillow in an allergen-impermeable cover and wash the bed linens weekly in hot water.
•Cockroaches can be controlled by removing exposed food and garbage and using poison baits and traps in lieu of other chemical agents.
• Indoor air pollution, especially tobacco smoke, also contributes to airway inflammation and bronchial hyperresponsiveness.
• Reducing exposure to these allergens and irritants can decrease airway inflammation and thereby reduce symptoms and medication requirements. Failure to control these exposures will make the asthma more difficult to manage.
Demographic and Administrative Information
Name: Lopez, Rio
Ward/Bed No. :4-10
Age/Sex:43/F
Case No. 783085
Date of Admission:
4/20/11
Weight: 65kg
Resident In Charge: R.M
MD
Date of Discharge: 4/22/11 Height: 5 f
HISTORY OF PRESENT ILLNESS
LIFE STYLE:
Non- Diabetic
Asthmatic; No other morbidities
(+) Smoking (18 packs year smoking) (+) occasional alcoholic beverage drinker Works as a call center agent
1week PTA:
Symptoms:
Daily Cough that worsens at night
Chest Tightness
Weezing and Difficulty in Breathing
Patient was using salbutamol inhaler as needed and prednisone 2mg tablet.
Patient is also complaining of painful urination, sore throat and foul vaginal discharge. PAST MEDICAL HISTORY
FAMILY MEDICAL HISTORY
(-) HTN
(+) ASTHMA
(-) DM
(+)Allergies with nuts amd acetamenophen
(-) kidney disease
(+) CS-twice
(+) DM-mother
(+) PTB-father
(+)- bronchial asthmasiblings
ROS
PRESENT WORKING IMPRESSION
(+) HIGH PITCHES
WHEEZES
FEV1 of less than 40%
PEF variability of > 30%
(+) Cervical gram stain
SOB
Bronchial Asthma
Bacterial