CASE STUDY – ALLERGIC RHINITIS . Purpose The purpose of this assignment is to ap

  

CASE STUDY – ALLERGIC RHINITIS.PurposeThe purpose of this assignment is to apply hypersensitivity pathophysiological concepts to explain assessment findings of a patient with ALLERGIC RHINITIS. Examine all aspects of the patient’s assessment including: Chief Complaint (CC), History of Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of Systems (ROS), and Medications and then answer the questions that follow..Requirements:1.    You must use at least one scholarly reference to provide pathophysiology statements. Use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal. APA 7 format. Scholarly references must be within 5 years.2.    You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address: https://journals.sagepub.com/doi/10.1177/0194599814561600 You may also use a medication administration reference such as Epocrates to provide medication names..Case Study ScenarioA 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares..Case Study Questions.Pathophysiology & Clinical Findings of the Disease1.    Analyze the case to arrive at the type of hypersensitivity reaction that the patient is exhibiting. Identify the correct hypersensitivity reaction.2.    Explain the pathophysiology associated with the chosen hypersensitivity reaction.3.    Identify at least 3-4 subjective findings from the case. Explain the rationale for each subjective finding using pathophysiology.4.    Identify at least 3-4 objective findings from the case. Explain the rationale for each objective finding using pathophysiology..Management of the Disease*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.1.    Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each.2.    Describe the mechanism of action for each of the medication classes identified above and include how the symptoms of allergic rhinitis are alleviated when taken.3.    Identify two treatment options that are NOT recommended (I.e., recommended against)..ReferencesMcCance, K.L. & Huether, S.E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Elsevier Health Sciences.•    Chapter 9: Alterations in Immunity & Inflammation, p. 255-284.