Asthma case study

  Asthma case study   Brad is a 19 year old white male with a history of well-controlled asthma for the past 13 years. He wheezes occasionally, and awakens at night due to cough- Brad has also observed that physical activity, such as running up stairs, now makes him short of breath. Symptoms seem to be triggered by exercise, colds, exposure to cats, and spring blooming season. Today Brad feels well, and denies fever/chills, cough, chest pain, or shortness of breath. PMH: atopic dermatitis (in infancy), allergic rhinitis, asthma Fame: Mother has severe asthma, A&W, Father A&W. 2 sisters, one with eczema, and one with asthma SocH>c college student, lives in dorm, does not smoke. ETOH: heavy drinking on weekends. Allergies: NKDA Meds: Mometasone DPl (dry powder inhaler 1 puff daily, Albuterol MDI (metered dose inhaler) 2 puffs q4 hours pm 808 (uses this approximately 8 times per week), Fexofenadine 18omg daily prn seasonal allergies. Vrtal Signs: BP 110/62, Pulse 68, RR 20, Temp 97.9, Ht 70", Wt 1701bs 02 Sat: 9996 on RA Spirometry: 7596 of predicted value for age and size; rest of physical exam1. Discuss the pharmacokinetic and phannacodynamic effects of each medication in his current medication therapy- (Pharmacokinetics is the effect the body has on the drugs. Pharmacokinetics includes absorption, distribution, metabolism and excretion of drugs.) (Pharmacodynamics is the effect the drugs have on the body and refers to the relationship between drug concentration at the site of action and the resulting effect, including the time course and intensity of therapeutic and adverse effects.” 2. What are common side effects for his current regimen? Are there any drug interactions with this patient’s drug regimen? 3. What would you want to monitor with this patient?