Case studies of asthma2

Case 2:

A)-J.K, an eleven-year old 30kg female has a history of recurring cough & wheezing. These symptoms worsen upon running or when she has upper RTI. The symptoms seem to recur every few weeks. She not required hospitalization for these symptoms. There is a family history of asthma. A diagnosis of chronic asthma is given. Theophylline in starting dose is 400mg/d BID PO.

Questions:

1-What is the MOA of theophylline?

2-What are the instructions should be given to this patient?

 

 

B)-After few days J.K was admitted in emergency room with severe tachycardia, headache and difficulty in getting sleeping at night. When physician asked her, she forgets and takes theophylline TID instead of BID.

Questions:

1-What is your comment?

2-How can this patient be managed?