Case scenario: Maria, a 55 year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, Maria has had three asthmatic attacks that were treated with prednisone and an albuterol inhaler. At a clinic visit today, prednisone is prescribed for 4 weeks and the order is written as follows: Day 1: 1 tablet four times a day Day 2: 1 tablet three times a day Day 3: 1 tablet two times a day Day 4: 1 tablet in the morning Day 5: ½ tablet in the morning Questions: 1. Explain the purpose for the use of prednisone during the asthmatic attack. Explain why the dosage is decreased (tapered) over a period of 5 days. 2. Can Cromolyn sodium be substituted for prednisone during the asthmatic attack? Explain your answer.

Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
Chapter25: Cardiovascular Drugs
Section: Chapter Questions
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Case scenario:
Maria, a 55 year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, Maria has had three asthmatic attacks that were treated with prednisone and an albuterol inhaler. At a clinic visit today, prednisone is prescribed for 4 weeks and the order is written as follows:
Day 1: 1 tablet four times a day
Day 2: 1 tablet three times a day
Day 3: 1 tablet two times a day
Day 4: 1 tablet in the morning
Day 5: ½ tablet in the morning
Questions:
1. Explain the purpose for the use of prednisone during the asthmatic attack. Explain why the dosage is decreased (tapered) over a period of 5 days.
2. Can Cromolyn sodium be substituted for prednisone during the asthmatic attack? Explain your answer.
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