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2. Scenario based Assignment:
Part A: In reference to the given scenario, critically discuss the relevant pathophysiology an acute exacerbation of asthma (1500 words: 50% weighting).
Part B: In reference to the given scenario, critically discuss the related pharmacology and medicines management issues of the three medications identified in the scenario (1500 words: 50% weighting).
Jack is 32 years old and has been asthmatic since the age of 7. His asthma has been well managed for the past 3 years with the occasional use of salbutamol (Albuterol) inhaler: Salamol: 2 puffs (100mcg/puff). He has not had an asthma attack for a number of years.
Jack is currently in the 3rd year of his fine arts degree and finding life generally stressful at the moment. For the past month he has been using his Salamol inhaler: 2 puffs (100mcg/puff) more frequently: up to three times a day
He has been admitted via the emergency department to a medical ward following treatment for an acute exacerbation of asthma. He is currently stable and prescribed the following medications:
Salbutamol (Steri-neb) 5mg four times a day, via oxygen driven nebuliser
Ipratropium bromide (Atrovent) 0.5mg four times a day, via oxygen driven nebuliser
Prednisolone 30mg, once a day, orally for 5 days
His current observations are:
Sa02: 97% on 35% humidified oxygen
Pulse: 101 bpm
Blood pressure: 143/80mmHg
RR: 28 breaths per minute
Temperature: 37.2°C

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