NJ is an 11-year-old boy with a 5-year history of ADHD and a 7-year history of...

NJ is an 11-year-old boy with a 5-year history of ADHD and a 7-year history of asthma. He also experiences perennial allergic rhinitis. NJ’s mother is bringing him into your office due to an exacerbation of this allergy. The symptoms he presents with include increased cough and runny nose and sneezing. He has no other medical history.

The following is his current list of medication:

Concerta: 36 mg every morning

Albuterol inhaler: 2 puffs as needed (uses one or two times a day)

Singulair: 5 mg PO daily

Zyrtec: 5mg PO daily

List specific goals of treatment for NJ.
What drug would be appropriate for NJ? Why?
What are the parameters for monitoring success of the therapy?
Discuss specific patient education based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the choice for the second-line therapy for treating NJ?
What over-the-counter or alternative medications would be appropriate for NJ?
What dietary and lifestyle changes should be recommended for NJ?
Write your prescription for this patient.
Write your prescription for this patient.

Expert Solution

Treatment goal

The treatment goal for allergic rhinitis is relief of symptoms. Therapeutic options available to achieve this goal include avoidance measures, oral antihistamines, intranasal corticosteroids, leukotriene receptor antagonists, and allergen immunotherapy

Reliving allergy and exacerbation is the main goal

Question no 2

Perennial allergic rhinitis is a chronic allergic condition that doesn't subside throughout the year and causes nasal congestion and a runny nose. You may feel like you have a permanent cold that won't go away.

Corticosteroids in the form of a nasal spray are the first-line treatment for perennial allergic rhinitis. Steroids reduce the inflammatory response caused by the allergic reaction, thereby helping to reduce the nasal symptoms such as itching and either congestion or watering of the nose

Question no 3

Parameters is the patient get relief from condition he is facing

Nightingale answered 1 year ago

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