As an advanced practice nurse, your scope of practice widens

The objective of this assignment is to develop a comprehensive care plan for pediatric patients with various conditions by integrating both pharmacological and non-pharmacological interventions. Patient factors such as age, severity of symptoms, and response to previous treatments should be considered when formulating tailored treatment plans. The selection of pharmacological interventions, including specific medications, dosing regimen, and duration of treatment, should be based on evidence-based practice guidelines. Appropriate non-pharmacological interventions should be recommended to complement pharmacological treatment and improve patient outcomes and overall well-being. The answer should be brief but comprehensive. Patient Information: Name: Sarah Age: 10 years old Gender: Female Height: 135 centimeters Weight: 30 kilograms Background: Sarah is a 10-year-old girl who has a history of asthma since the age of 5. She presents to the pediatrician’s office with complaints of increased wheezing, coughing, and shortness of breath over the past week. Her symptoms have been exacerbated by exposure to cold air and exercise. Sarah’s asthma is usually well-controlled with a low-dose inhaled corticosteroid (ICS) as maintenance therapy, but she has been experiencing more frequent exacerbations lately. Medication History: Maintenance Therapy: Sarah has been prescribed a low-dose inhaled corticosteroid (ICS) as maintenance therapy to control her asthma symptoms. She typically uses a metered-dose inhaler (MDI) with a spacer device twice daily. Rescue Medication: Sarah also has a short-acting beta agonist (SABA) inhaler for symptom relief during asthma exacerbations. She uses the SABA inhaler as needed for acute bronchodilation. Clinical Assessment: Physical Examination: Sarah appears anxious and is using accessory muscles for breathing. Auscultation reveals wheezing bilaterally. Spirometry: Spirometry demonstrates reversible airflow obstruction with a significant improvement in forced expiratory volume in 1 second (FEV1) after administration of a bronchodilator. Peak Expiratory Flow (PEF): Sarah’s PEF measurements indicate airflow limitation and variability consistent with poorly controlled asthma Using the provided patient information and medical history, determine the most appropriate pharmacological treatment for Sarah’s asthma. Consider factors such as her age, the severity of her symptoms, and her response to previous medications. Provide a rationale for your choice of pharmacological intervention, including the dosing regimen and duration of treatment. Develop a comprehensive plan of care for Sarah to manage her asthma and prevent future exacerbations. Consider her age, symptom severity, and response to previous treatments. PHARMACOLOGY CASE STUDY MSN 629 1. Pharmacological Plan: Provide the most appropriate pharmacological treatment considering the patient’s age, severity of symptoms, previous treatments, and other relevant factors. Include a detailed rationale, patient-specific dosing, duration of treatment, medication concentration (if applicable), and recommended dose. Medication Rationale Recommended Dose (mg/kg/day) Dose Concentration (if applicable) Route/Frequency 1. 2. 3. 4. 5. 2. Comprehensive Management and Follow-Up Plan: Develop a comprehensive plan to manage the patient’s illness and address underlying contributing factors. Include details on medication, follow-up appointments, referrals, patient education, and any additional actions required for ongoing care. Intervention/Action Description 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

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