At the moment the patient is taking 10mg of corticosteroid daily. The corticosteroid is used in treating asthma as it is part of steroid hormones that are used to relieve inflamed body areas such as lungs. Albuterol prn that the patient is using twice a week is used for preventing and treating wheezing and breathe shortness that occurs as a result of breathing systems such as asthma. Examination of Michelle showed that she was influence-A positive. For asthmatic patients who are suffering from flu, the best medication is the use of antiviral drugs ( McCracken et al., 2017) . In our case, Michelle should use either peramivir or oseltamivir which keep flu viruses from making more viruses in the body. The patient should use 75 mg of Oseltamivir daily for ten days ( Dobson et al., 2015) . The patient, however, should not use zanamivir as it has a risk of causing wheezing in people with asthma.
Besides, Michelle should take medication on Asthma and high blood pressure. Michelle recommended remedy for asthma is inhaled steroids. Michelle can use mometasone such as Asmanex at a dosage of Mometasone Furoate 220ug per day. The patient is hypertensive which means that she can use ACE inhibitors for treatment. For example, the patient can use benazepril HCL Lotensin 20mg per day ( Leung et al., 2016) .
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Durable Medical Equipment that can be used for testing and treatment of Asthma, hypertension, and flu may include a peak flow meter, Advair, albuterol an electronic sphygmomanometer. The peak flow meter is a portable hand device that is used to measure how well air flows into an asthmatic patients lungs. Advair and albuterol are inhalers used by asthmatic patients fitted with a combination of a steroid and long-acting beta agonist. An electronic sphygmomanometer is used at home and in health centers to examine blood pressure levels in patients. All these devices are essential for monitoring and treatment of Michelle’s conditions. Each of these devices plays a vital role in monitoring the conditions that the patient is suffering from.
It is not safe for Michelle to return home because of High blood pressure. Exam findings indicate that her BP is 150/85 which means she has a top systolic blood pressure ( Leung et al., 2016) . Michelle should be observed to evaluate whether the high blood pressure is as a result of Influencer-A ( Vemula et al., 2016) . She should also stay in a controlled environment from the masses to avoid spreading flu. It is not necessary to refer her to higher care because with the right medication she will address the flu and also address the high blood pressure.
In addition to the medication, Michelle should learn a few aspects of managing the three conditions. High blood pressure patients must understand that medication is taken until a physician determines that the pressure is back to normal. The asthmatic condition is a lifelong condition, and it is essential to have an inhaler with you at all times for emergency reasons ( McCracken et al., 2017) . The signs and symptoms of influenza A should be gone within ten days, and the dose should be complete. The patient should also book a three weeks clinic for three months to evaluate keep the conditions in check. Clinics are essential for regular checkup and change of medication especially for conditions such as HBP and asthma. The patient should avoid stressing activities because of high blood pressure and accelerated apical rate which might cause complications.
References
Dobson, J., Whitley, R. J., Pocock, S., & Monto, A. S. (2015). Oseltamivir treatment for influenza in adults: a meta-analysis of randomized controlled trials. The Lancet , 385 (9979), 1729-1737.
Leung, A. A., Nerenberg, K., Daskalopoulou, S. S., McBrien, K., Zarnke, K. B., Dasgupta, K., ... & Bolli, P. (2016). Hypertension Canada's 2016 Canadian hypertension education program guidelines for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. Canadian Journal of Cardiology , 32 (5), 569-588.
McCracken, J. L., Veeranki, S. P., Ameredes, B. T., & Calhoun, W. J. (2017). Diagnosis and management of asthma in adults: a review. Jama , 318 (3), 279-290.
Vemula, S., Zhao, J., Liu, J., Wang, X., Biswas, S., & Hewlett, I. (2016). Current approaches for diagnosis of influenza virus infections in humans. Viruses , 8 (4), 96.
