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?