Chamberlain College of Nursing NR 603 Week 2 Case Study

1. What is your primary diagnosis for Michelle given the pattern of occurrence of symptoms, exam results, and recent history? Include the rationale and a reference for your diagnoses. 2. What is your first-line treatment plan for Michelle including medications, labs, education, referrals, and follow-up? Identify the drug class of each medication you prescribe and exactly what symptom it is targeted to address. 3. Address Michelle's request for an antibiotic Dr. Deering and class, Primary Diagnosis: Based on the presenting symptoms and assessment findings within this case study, the primary diagnosis for Michelle is occupational asthma. Occupational asthma (OA), or work-related asthma (WRA), is the most common occupational lung disease in the United States (Global Initiative for Asthma [GINA], 2019). OA results from exposure to a stimulus, such as dust, grain, flour, latex, insects, and mold, found in the workplace environment (Jolly et al., 2015). Exposure to these types of allergens causes symptoms of asthma, including coughing, wheezing, chest tightness, and shortness of breath (Dao & Bernstein, 2018). Nasal congestion and eye irritation can also occur as a result of OA. In