Possible disease process according to client’s historyThe symptoms seen on Donna suggest that she has allergic rhinitis and is also possibly affected by allergic contact dermatitis. Her complaints include tenderness of her maxillary sinuses, she has medium sized polyps on each side of her nasal tract and has red, boggy moist mucosa that all imply inflammation of the nose’s mucous membranes an inflammation known as rhinitis chapter 7 page 5 (McCance & Huether, 2014). She also has tearing swollen eyes and reddened sclera. Her flaking erythematous rash suggests a localized contact dermatitis type IV hypersensitivity reaction.

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Immunoglobulin E, a constituent of allergic reactions, adheres to the mast cells found in respiratory tracts. According to the statistic by Tabers Dictionary about 50 percent of the patients with allergic reaction have elevated Immunoglobulin E levels chapter 9 page 3 (McCance & Huether, 2014). There is also reagin that results from immunoglobulin gamma E formation. Immunoglobulin Gamma E is a form of immunoglobulin E that is found in the blood serum of atopic individuals. It is known as reagin and acts as a mediator to the hypersensitivity linked to atopic reactions chapter 9 page 1 (McCance & Huether, 2014).

Useful assessment questions to ask regarding her family and medical history
Any history of environmental, seasonal or pet allergies?
Any history of issues with your respiratory system?
Any history of asthmatic bronchitis or asthma?
Do you always have these symptoms at around the same time each year?
Is there anything you suspect causes the symptoms to show up?
What previous treatment have you received for this condition in the past?
Does any of the members of your family have a history of allergic reactions?
If yes what allergic reaction was this member diagnosed?

Evidence that suggests that Donna’s infection is not acute severe
Her vital signs that include blood pressure, respiratory rate, afebrile and pulse are all within normal limits which show that her postnasal drainage isn’t blocked, she has hemodynamic stability and that her lungs do not have auscultation chapter. If Donna’s infection were acute or severe, her vital signs would not be at a normal rate.

The type of hypersensitivity reaction involved in Donna. Donna’s symptoms signify a presentation of allergic rhinitis. The cause of allergic rhinitis is usually inhalants that include mold, pollen, and dust chapter 7 page 2 (McCance & Huether, 2014). It is, therefore, a type 1 hypersensitivity reaction Chapter 9 Page 4. Type 1 reactions are the most common allergies.

    References
  • McCance, K., & Huether, S. (2014). Pathophysiology. The Biological Basis for Disease in Adults and Children, 7th Edition. [VitalSource Bookshelf version]. Retrieved from http://digitalbookshelf.edu/books/9780323088541/id/B9780323088541000096_t0025