Ahava Zwiebel, a 7-year-old female client (DOB: 1/11/2017), presents to the clinic with her mother, complaining of a continuous cough and fever. Ahavas mother states that her cough has started to bring up blood-tinged mucus and that she has felt more shortness of breath. Her mother states that Ahava has a history of allergic asthma and has been taking oral steroids for the past week due to an asthma exacerbation. She says that she has taken oral steroids several times over the past two years due to asthma exacerbations. The NP orders allergy skin testing and IgE serum levels, with results determining the client has an allergy to Aspergillosis. The NP diagnoses Ahava with allergic bronchopulmonary Aspergillosis (ABPA) and considers what medications would be appropriate to add to her current therapy according to the CPG. Past Medical History: AsthmaAllergies: NoneMedications: prednisolone solution (Pediapred 5mg/5mL) once daily, albuterol (Proair) inhaler PRN Social History: Has never smoked cigarettes or drank alcohol. Physical Exam:* Height: 4 ft 0 in* Weight: 60 lbs (27.2 kg)* Body Mass Index (BMI): 18.3* Blood Pressure (BP): 100/65* Heart Rate (HR):91* Respiratory Rate (RR):27* Oxygen Saturation (O2 Sat): 94% on RA* Temperature(TEMP): 101.9 oral1. Describe your assigned clients situation. Why are they presenting to the clinic? What medications are they currently taking? 2. Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your clients situation? 3. Discuss your personal professional assessment of the clients situation provided in the scenario. What pharmacological treatment is necessary and why?4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you want to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
[Answered]: Ahava Zwiebel, a 7-year-old female client (DOB:…
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