ALLERGIC RHINITIS CASE #1 Twenty-one-year-old Black male with concomitant seasonal allergic rhinitis and asthma, recently admitted

to the ICU for an acute asthma exacerbation. History of moderate persistent asthma, with occasionally severe exacerbations, usually in the spring and fall seasons. Chief complaint The patient is a 21-year-old African American male with severe acute asthma exacerbations requiring ICU admission. History of Present illness The patient was brought by ambulance to the ED in acute respiratory distress and presumed status asthmaticus, which developed while he was hiking outdoors. He was treated in the ED with O2 via nasal cannula, nebulized albuterol, 5 mg x 3, SC epinephrine 1:1000, 0.4 mg x 3, and methylprednisolone, 40 mg IV Q 6 hr x 4. His FEV1 was 40% of predicted, PaO2 was 45 mm Hg, and PaCO2 remained at 55 mm Hg post-treatment, with a respiratory rate of 32 breaths per minute. He was transferred to the ICU for intubation and mechanical ventilation with PEEP to manage respiratory acidosis. Chest x-ray and sputum cultures were negative. His complete blood count was remarkable for an eosinophil count of 400 cells/L. He was given a loading dose of aminophylline, 6 mg/kg, then 0.5 mg/kg IV. He was extubated on day 3, transferred back to the floor, and discharged the following day. A follow-up appointment is scheduled with Dr. Togias. Medical History History of chronic moderate persistent asthma. History of severe exacerbations, usually in the spring and fall. Concomitant allergic rhinitis symptoms Assessment Treatment of both asthma and allergic rhinitis with appropriate medications as instructed Discharge Plan Fluticasone Albuterol: Mometasone Fexofenadine: Prednisone: Follow-up 40 mg in NS: propionate/salmeterol: 2-4 2 180 PO QD, office puffs sprays mg tapered in down in 250/50 Q each PO over 1 7 mcg 4 nostril BID PRN QD QD days week

Good Morning Plm Nursing Society. Magtatanong lang po sana..E2 po yung question: A patient is in acute exacerbation of asthma and at the same time he developed allergic rhinitis, Ano po yung pwdng gawan ng pathophysiology ung Asthma or yung AR?