Question

67. A 6-year-old patient is brought to the physician's office after his mother noticed he had some trouble breathing following a strenuous soccer game in the backyard. He had wheezing a few times after playing outside but has never been brought to the pbysician for this, What drugs do you think may be prescribed ? what may be his problem ? 68. A patient reports that she had on of her asthmatic spells last night and spent most of the night in a chair. In the office today , she has only scattered and minimal wheezing Her activities yesterday included vigorous spring housecleaning and grooming her three cats for a show. What medications or other advice may be helpful for this patient? 69. A patient appears chronically ill. He has recurrent chest pain and shortness of breath .The probable diagnosis is angina. What drugs are likely to be useful in managing his condition? 70. After a heart attack , a patient was prescribed warfarin (Coumadin), 10mg/day. He has returned to work and feels well .However, he is annoyed that he has to have periodic blood tests and checkups. How can you help him understand the need for these tests?

Answer 1

67) Either ,he had a hit with the soccer on his chest or has allergic reaction to some of the environment factors which is causing breathing difficulty . The drugs to be prescribed for the boy are adrenaline for allergic reaction if present , bronchodilators to help in dilatation of bronchioles and steriods to prevent inflammation .

68) The medication to be prescribed for her are bronchodilators , and corticosteroids . Advice to be provided are :-

- avoid allergic agents such as animal furs , dust ,pollen etc

- avoid strenous activity

- avoid stress

- take medications as prescribed and maintain compliance

- regular follow ups

- avoid food products which are allergic

69) The drugs for the management of angina are :-

- Nitroglycerin sublingually

- morphine

- aspirin

- oxygen therapy

- thrombolytic is clot is present

70) I will explain him first of all the action of warfarin - it is an anticoagulant means don't allow the blood to clot and prevent clot formation in blood vessels . Heart attack is caused due to clot obstruction in the blood flow to heart due to clot or plague . To avoid this anticoagulant is given as a preventative. A person who is taking anticoagulant must have regular blood tests and check up because if the concentration of drugs is more in blood then it could causing bleeding and if less then clot can be formed . To avoid such situations ,check ups are done regularly .