PBL 3 session 3

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PBL 3 session 3 by Mind Map: PBL 3 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. goals of treatment

2.1.1.1. treating depression, obesty

2.1.1.1.1. biopsychisocial

2.1.1.2. prevent relapses and control the asthma

2.1.1.3. restore normal growth parameters

2.1.1.4. maintain normal leverl of steroid

2.1.2. it is dangerous to use anti cortisone drugs

2.1.3. use of other steroid for asthma with less sideffect

2.1.3.1. inhaler

2.1.3.2. mouth wash

2.1.3.3. most side effect come from the oral administration

2.1.4. beta adrenergic

2.1.5. normalisation

2.1.5.1. level of cortisone in the serum

2.1.5.2. tappering the dose to avoide adrenal crises

2.1.5.2.1. hypotension

2.1.5.2.2. hyponatremia

2.1.6. manage the triggers of asthma

2.1.6.1. allergen

2.1.6.2. emotional induced

2.1.6.3. try to prevent infection

2.1.7. treating high blood pressure and hyperglucemia

2.1.7.1. insulin

2.1.8. bisphosphinate

2.1.8.1. for bone

2.1.8.2. not used unless late stages with osteoperosis

2.1.8.3. if suspect give vitamin D and Ca

2.1.9. diet and binge eating

2.1.9.1. excercise

2.1.9.1.1. helps in depression and overweight

2.1.9.1.2. beta agonst before excercise 15 min

2.1.9.1.3. swimming

2.1.9.2. increase uptake of Ca

2.1.9.3. low Na

2.1.9.4. high protein

2.1.9.4.1. sea food

2.1.9.5. referred to dietion

2.1.10. educate the family

2.1.11. psychiatrist referral

2.1.11.1. educate the patient

2.1.11.1.1. seek medical care when need it

2.2. Prevention

2.2.1. propper cortisone use

2.2.2. propper use of steroid

2.2.2.1. atheletic

2.2.2.2. arthritis

2.2.3. vitamin intake

2.2.4. excercise and diet

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes