I need a response for the following peers

Peer 1. 

An allergy happens when the body’s immune system responds to a different substance, known as an allergen. Maybe it’s one thing you consume, inhale in the lungs of yours, inject into the body of yours, and contact. Those of the typical cold: eye tearing, postnasal drip, nasal congestion, sneezing, and itchy throat are resembled by signs of allergic rhinitis. Along with intense symptoms, possible complications of allergic rhinitis include loss of smell or taste, sinusitis, persistent cough, hoarseness as well as middle ear infections in kids, asthma attacks as well as death. A number of individuals experience symptoms of allergic rhinitis just during certain times during the entire year, when pollen levels are at levels that are high in the ecosystem. These times are usually on autumn and spring when plants and trees are blooming, therefore the title of seasonal allergic rhinitis. Certainly, the flowering season switches with the geographical location along with every species of plant. While in the season, these people might need symptom relief for just a couple of weeks. Some other individuals, nonetheless, are impacted by allergic rhinitis during the entire season since they’re continually exposed to inner allergens including dust mites, pet dander or perhaps. This particular variation is known as perennial allergic rhinitis. These people might need constant pharmacotherapy (Seidman et al., 2015). It’s usually not clear if an individual is having seasonal and perennial allergic rhinitis. Individuals with seasonal allergies might additionally be vulnerable to several of the perennial allergens. It’s additionally widespread for just one allergen to sensify the individual with someone else. For instance, throughout organic season, an individual can become hypersensitive to various other allergens, like mold spores or maybe pet dander. The body ‘s symptoms and response of allergic rhinitis will be the exact same, nonetheless, no matter certain allergens. Allergy assessments are able to help identify particular allergens which trigger symptoms. 

2. For allergic individuals, the most effective care is avoiding unpleasant allergens altogether (i.e. prevention). This might be possible in case the allergen is a certain meal, like peanuts, which could be cut off from the diet plan, although not if the air is laden with allergens including weed pollen. Although not one is actually hundred % effective, perhaps home air cleaners, conditioners, humidifiers, and filters supply totally different amounts of relief. Over-The-Counter medications or several prescription also provide help (Braido et al., 2014). Antihistamines. The consequences of histamine, the chemical which generates eye water and itching on the noses as well as causes sneezing throughout allergic reactions are contradicted by these medicines. Although young medicines don’t result in such an issue, sleepiness was a difficulty with the very first generation of antihistamines. Nasal steroids. These anti inflammatory sprays help reduce mucus, swelling, and inflammation production. They work nicely in conjunction with antihistamines and, at doses that are low for brief time periods, are quite totally free of unwanted side effects. Sodium chromolyn. A nasal spray, sodium chromolyn is able to help prevent hay fever, maybe by obstructing the release of histamine along with various other chemical substances which produce symptoms. It’s several unwanted side effects. Decongestants. Obtainable in capsule and squirt form, fine decongestant nasal secretions allowing it to lower swelling and discomfort in the sinuses. Meant for short term use, they’re generally used in conjunction with antihistamines. Extended use of aerosol decongestants are able to worsen symptoms, while decongestant capsules don’t have this particular issue. Combined medications. An antihistamine with a decongestant is combined by some allergy medicines. Examples include loratadine pseudoephedrine (Claritin D) and fexofenadine pseudoephedrine (Allegra D). Immunotherapy. Immunotherapy (allergic injections) is able to provide help for individuals that don’t find help with antihistamines or maybe nasal steroids. You will find 2 common kinds of immunotherapy, sublingual and allergic immunotherapy Alters the body ‘s immune reaction to allergens, therefore helping reduce allergy symptoms. Present immunotherapy therapies are restricted because of potential side effects. 

3- Interact with the allergist to produce techniques to stay away from the triggers of theirs: Monitor pollen as well as mold count; Weather reports in papers as well as television and radio usually incorporate the info throughout allergy stations; keep windows as well as doors closed at home and in the car of yours during allergy season; washing hands frequently with soap and soap; stay away from close communication with those things and anyone cold you’re sensitive to, like pollen, low cost, dust mites, etc. In order to stay away from pollen, recognize which pollens you’re hypersensitive to, after which examine the pollen count. In summer and spring, throughout the pollen season of grass and trees, levels are more at night. For early autumn and late summer, throughout grass pollen season, levels are much higher in the early morning. Bathing, changing and washing garments after working and playing outdoors and also using a 95 rated NIOSH filtration mask when cutting the grass or performing other outside responsibilities and also taking the proper medicine in advance. 

 

Peer 2 

Allergies are one of the most common chronic diseases. A chronic disease lasts a long time or occurs often. An allergy occurs when the body’s immune system sees a substance as harmful and overreacts to it. The substances that cause allergic reactions are allergens. When someone has allergies, their immune system makes an antibody called immunoglobulin E (IgE). These antibodies respond to allergens (Dylan, 2016). The symptoms that result are an allergic reaction. 

           Some of the most commonly used pharmacogenomic drugs are nasal sprays that relieve sinus-related symptoms, there are medications that can help reduce your body’s reaction to allergens. These drugs, both OTC and prescription, can be taken as liquids or pills.  Common allergy medicines include antihistamines (Lindgren, Stroh & Jakobsson, 2015).  Antihistamines work by blocking the effects of histamine (a chemical in the body that can cause allergy symptoms). They’re sometimes combined with other types of drugs.  Examples of antihistamines include Allegra (fexofenadine),     Azelastine (Astelin, Astepro).  In general, studies of the new generation of drugs show a weaker sedative effect when compared with the first-generation drugs. However, the second-generation drugs, often called nonsedating antihistamines, can also induce sedation. 

           Patient education should include how to identify possible triggers, how to use the medication, how to use a nasal spray, discussing side effects of commonly prescribed drugs, how allergy medication affects children, and how to use antihistamines. 

Response using APA 6th format. All posts must be supported by peer-reviewed 

articles no older than 5 years of publication.

Below are  the original questions if you needed. 

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really  well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

1. Discuss the epidemiology of allergies.
2. What are your treatment options (consider pharmacoeconomic)? Compare first and second-generation antihistamines.
3. What education will you provide to the patient?

Critical Thinking Assignment – Big Data 

Research a minimum of four articles on big data, its usefulness in healthcare, and achieving the goal of improving patient outcomes. Do a SWOT (strengths, weaknesses, opportunities, and threats) analysis on the use of health data and the potential to improve patient outcomes based on these articles. Summarize the benefits to the patients, healthcare organizations, and providers(Mention Saudi Arabia if possible ).

Your paper should include the following:

• -3-5 pages in length, not including the title and reference pages.
• -3-5 references cited in the assignment. Remember, you must support your thinking/opinions and prior knowledge with references.
• -APA-formatted reference list.
• -More citation through the text
• -Formatted according to the APA Writing style
• -No Plagiarism

Hypertension Case StudyC.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.PMHAllergic RhinitisDepressionHypothyroidismFamily HistoryFather died at age 49 from AMI: had HTNMother has DM and HTNBrother died at age 20 from complications of CFTwo younger sisters are A&WSocial HistoryThe patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.MedicationsZyrtec 10 mg dailyAllergiesPenicillinROSStates that his overall health has been fair to good during the past year.Weight has increased by approximately 30 pounds in the last 12 months.States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.Denies any nausea, vomiting, diarrhea, or blood in stool.Self treats for occasional right knee pain with OTC Ibuprofen.Denies any genitourinary symptoms.Vital SignsB/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.HEENTTMs intact and clear throughoutNo nasal drainageNo exudates or erythema in oropharynxPERRLAFunduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledemaNeckSupple without masses or bruitsThyroid normalNo lymphadenopathyLungsMild basilar crackles bilaterallyNo wheezesHeartRRRNo murmurs or rubsAbdomenSoft and non-distendedNo masses, bruits, or organomegalyNormal bowel soundsExtMoves all extremities wellNeuroNo sensory or motor abnormalitiesCN’s II-XII intactDTR’s = 2+Muscle tone=5/5 throughoutWhat you should do:Develop an evidence-based management plan.Include any pertinent diagnostics.Describe the patient education plan.Include cultural and lifespan considerations.Provide information on health promotion or health care maintenance needs.Describe the follow-up and referral for this patient.Prepare a 3–5-page paper (not including the title page or reference page).Assignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format as outlined in the APA Progression Ladder.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Discussion Question

• Have you had an experience when evidence-based research had a significant impact on the quality of your patient care that resulted in policy making? 
• Please discuss and state the issue and policy.
• Identify who was involved in developing the policy.