Question

QUESTION 2 BACKGROUND:

A 25-year-old male concert pianist who is due to play overseas in an international competition. He has had a long history of asthma, but it is well controlled with regular use of salbutamol and an inhaled steroid. As the competition approaches, he develops severe anxiety, which impacts on his ability to practise because of the tremor in his hands. He is aware that another member of the orchestra also suffers pre-competition anxiety and has tablets that help slow heart rate and stop tremor. He obtains 5 tablets from the colleague and initially he takes 2 tablets and 4 hours later, as he feels calmer, he takes another 2 tablets. A short time later, while practising he develops chest tightness that requires use of his salbutamol inhaler.

QUESTIONS:

1. Briefly explain the physiological effects manifested by his anxiety and speculate on what class of drugs he is most likely to have taken to relieve these symptoms?

2. Explain the mechanistic relationship between the drug he has taken for his anxiety and exacerbation of his asthma.

3. What advice should be given to him regarding the use of any non-prescribed drugs?

With reference.

Answer 1

Ans1) in short term, anxiety increase breathing and heart rate, concentration of blood flow to brain

Benzodiazepines drugs are widely prescribed type of medication for anxiety

Ans2) Stress a common cause factor. Stress can be major contributor to asthma and anxiety. Studies show that stress and anxiety can trigger Asthma attacks. At the same time, the wheezing and difficult breathing that you feel during asthma attack can cause anxiety

Ans3) if you take drugs not prescribed to you and have an unexpected serious reaction, no one will know what you take, which can delay treatment

it's occurs allergic reaction and drugs toxicity Which may lead to death