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Case study #33- Cystic FibrosisÂ
Problem Identification
1.a Identify this patient’s drug related problems. Include those relating to both her acute medical issues and her chronic CF management.Â
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1.b. What information indicates the disease severity and the need to treat Jenna’s acute pulmonary exacerbation pharmacologically?
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1.c. Could any of her problems be caused by drug therapy?
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Desired outcomes
2. What are the goals of pharmacotherapy in this case?
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Therapeutic Alternatives
3.a. What nonpharmacologic therapies might be useful for this patient?
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3.b. What pharmacotherapeutic alternatives are available for treatment of this patient’s acute pulmonary exacerbation and chronic CF management?
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3.c. What economic and psychosocial considerations are important in this patient’s acute and chronic CF management?Â
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Optimal Plan
4.a. What drugs, dosage forms, doses, schedules, and durations of therapy are best for this patient?
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4.c.What pharmacologic therapies should be considered for Jenna’s chronic CF management?
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Outcome Evaluation
5. What clinical and laboratory parameters are necessary to evaluate the efficacy and safety of therapy for CF exacerbations?
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Patient education
 6. What information should you provide the patient regarding the administration of aerosolized drug therapy? The patient will be going home on aerosolized dornase alfa, hypertonic saline, tobramycin, and albuterol.Â
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7. Where can you obtain information about the patient assistance programs  for cystic fibrosis that are available for children, adolescents, and adults with c f on a national and state local level?
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SCIENCE
HEALTH SCIENCE
NURSING
NRSG 675
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