You will have the opportunity to describe the pathophysiology and pharmacological management for a ‘person/client’ who has either type II diabetes or asthma by making a Vodcast - these conditions have been identified as National Health Priority Areas according to the Australian Institute of Health and Welfare.
Questions: Part 1: Asthma Vodcast questions Question 1.
Two major pathological changes that occur in the lungs during an asthma attack are:
1) Bronchial smooth muscle contraction
2) Inflammation of the bronchi
Explain how these pathological changes arise in your person/client (ie. the pathophysiology).
Question 2.
The clinical manifestations of asthma include:
GROUP A GROUP B
Cough Airway oedema
Hypoxia Increased respiratory rate
Wheeze Increased heart rate
Tight chest Dyspnoea
Choose ONE clinical manifestation from GROUP A and ONE clinical manifestation from GROUP B and relate them to the underlying pathophysiology for your person.
Question 3.
The following drugs are used in the management of asthma.
1) Salbutamol
2)Inhaled corticosteroid
Choose ONE that is appropriate for your person/client. Discuss why it can be used by your person/client by referring to its mechanism of action.
Question 4. Answer both parts (a) and (b)
(a) Exercise can often improve asthma symptoms. Explain whether this could this be the case in your person/client.
(b) Explain whether exposure to cigarette smoking (active or passive) could be a trigger or exacerbate asthma symptoms for your person/client
Part 2:Diabetes mellitus Vodcast questions
Question 1.
The following physiological processes are important for blood glucose control:
1) Insulin synthesis and release
2) Insulin binding to target tissues
Explain how they are different in your person/client in comparison to a healthy non-diabetic person.
Question 2.
The following are some consequences of long-term poorly controlled hyperglycaemia:
1) Retinopathy
2) Angina pectoris
Explain why they may occur in your person/client.
Question 3.
The following drugs are used in the management of type II diabetes mellitus.
1) Metformin
2)Insulin
Choose ONE that is appropriate for your person/client. Discuss why it can be used by your
person/client by referring to its mechanism of action
Question 4. Answer both parts (a) and (b)
Answer both parts (a) and (b)
(a) Insulin resistance can occur in a person with increased abdominal adiposity. Explain the
pathophysiological basis for this.
(b) Explain why HbA1c has used a measure of long-term control of blood glucose levels and how this
the measure will be useful in the management of your person’s/client’s disease.
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