Asthmacology Case Studies

Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six

From the information gathered from the case study above, SE asthma is not well controlled because, she has been using her albuterol metered- dose inhaler approximately three to four days a week over the last two months. She has been awakened by cough three nights during the last month. She has shortness of breath during exercise, which does not usually occur to her during exercise. She has been hospitalized two times in the last year due to her asthma exacerbation and SE has visited the emergency department six times for the past six months due to asthma symptoms and exacerbation

A 10 year old boy presents with his mother to the Emergency Room in respiratory distress. The mother reports he developed nasal congestion and sore throat 24 hours prior, then a cough a few hours previously. Over the past 2 hours he has complained of chest pain and has been breathing rapidly. His mother administered a unit dose of albuterol via the nebulizer and then a second dose 5 minutes later. He showed no signs of improvement. She reports he has had two similar episodes in the past year. Your examination reveals an afebrile child with a respiratory rate of 40 breaths/minute, oxygen saturation of 88% by pulse oximetry, and a heart rate of 130 beats/min. You note that his radial pulse becomes weak in amplitude with inspiration. His blood pressure is normal but his capillary refill is sluggish at 6 seconds. He appears drowsy and is using accessory chest muscles to breathe. You hear faint inspiratory wheezes and no breath sounds during expiration.

Pamela was seen today following her trial of Alvesco and her stress myocardial perfusion scan. Reassuringly, the stress myocardial perfusion scan was normal showing godd ventricular function and no obvious evidence of ischemic heart disease.

The client’s secondary diagnosis is community-acquired pneumonia. Typically, immune defense mechanisms, such as the secretion of alveolar macrophages and immunoglobulins A and G, protect the lower airway from infection. Streptococcus pneumoniae, the most common causative agent of community-acquired pneumonia, invades the lungs. The organism triggers an inflammatory response, resulting in increased blood flow and vascular permeability. Neutrophil activation occurs, to surround the kill the invading organism. A combination of the offending organism, neutrophils and fluid from the surrounding blood vessels flood the alveoli, inhibiting normal oxygen transportation. This filling of the alveoli may lead to tachypnea, tachycardia and dyspnea. Further obstruction of airflow and an increased impairment of gas exchange occur as mucous production increases. When

On 2/22/17 Child Protective Services received a referral stating Tristan, comes to school with bites on him, and that he has serve asthma. It is believed the bites came from roaches in the home. has a rash all over his body which he says is from his home being infested with fleas, roaches, rats and mice. Ongoing- Student is almost daily having asthma issues at school. Risk: Jana Shepherd is a parent who has experienced CPS as a teenager with a child.

Drugs. They have entered our communities, our schools, our neighborhoods, our homes. For generations now they have been affecting our society; influencing politics, laws, wars, science, and the overall structure of society. Russia and Mexico have had some of the highest involvement in drugs, and the fight against them. In Russia almost 6 percent of the total population, which is about 8.5 million people are drug addicts, or regular users. Russia has also become increasingly involved in the trafficking of drugs. In comparison Mexico has been one of the largest marketplaces for drugs, and has been a major producer and exporter of marijuana and heroine. In order to further better their countries, Russia and Mexico have implemented certain policies to restrict, outlaw, or limit drugs and the trafficking of them. This paper is going to compare Russia’s and Mexico’s policies on drugs, it will explore the history and background of both countries policies, the effectiveness of each of the countries policies, and will compare the two countries policies. In this comparison we will discover which country if any has had a more effective policy on drugs.

Asthma is described as a chronic lung disease that makes it difficult to breathe due to the inflammation and narrowing of the airways. This is the most common chronic respiratory disease among children in the United States and is the leading cause of childhood hospitalization due to disease, as well as causing high rates of school absences. Many have wondered what could potentially create a greater risk factor in regards to children obtaining this disease.

Amy Parsons is a 16-year-old who states that she has periods when she experiences severe coughing described as dry, hacking, and non-productive. Amy reports shortness of breath and cough after swimming during summers and cough along with occasional wheezing during fall and winter months when she swims competitively. She has no known allergies, no history of surgeries or hospitalizations, and no chronic illnesses. Amy’s physical exam is unremarkable but she reports four to five colds per year. The test results for Amy’s the peak expiratory flow rates (PEF) are as follow: 290/310/320 with her predicted at 453. The following paragraphs will identify and explain the pathophysiology involved in Amy’s case.

Furthermore, after reviewing J.B.’s past medical, surgical, social and family history, medication, allergies, and review the systems, the nurse practitioner student ruled out postnasal drip as the differential diagnosis because J.B. denied having a postnasal drip that might cause coughs. Upon the physical examination, the student ruled out pneumonia because J.B. had clear bilateral lung sounds. The student did not rule out pneumonia before the physical examination is because signs and symptoms alone are not reliable to rule out pneumonia. Long, Long, & Koyfman (2017) states that the diagnosis of pneumonia requires a combination of clinical presentation, medical history, and physical examinations. The physical examinations, including dullness to percussion, wheezes, and crackles are the most reliable findings. Therefore, the final

Caleb is a 10-year-old male here today with his mother with complaints of a cold and a sore throat.

The patient tells me her symptoms started last Thursday. She started with a cough and she is also noticing some congestion and her ears are feeling blocked. That is a newer symptom for her. She has had a sore throat, but she is not sure if it is truly a sore throat or whether it is just from her coughing. She has not checked her temperature, but has felt chilled and achy at times, but is not sure if she has had a fever. She has also been taking Advil. She does not feel short of breath, but the cough is keeping her up at night. She does not have a history of asthma. She does not use inhalers on a regular basis. About a month and a half ago, she had some

Nurses always play a vital role in patient safety and care. In contrast with the past, today the nurses are well-informed, with a focus on coordinating patient care and the use of critical-thinking skills. Being a significant health care professional involved in the patient care, nurses have several responsibilities such as preventing medication errors, ensuring the patients attain accurate treatment and above all upholding the patient safety. While coming to case management nurses, they need to have deeper understanding of healthcare services and their application. In addition, they must have enhanced organizational talent and effective communication skills with the patients and with different sources on behalf of these patients.

Currently, standards for the diagnosis and treatment of AB are inconsistent, but all guidelines recommend avoiding prescribing antibiotics for acute cough/AB (Dempsey, Businger, Whaley, Gagne & Linder, 2014). A viral infection is usually a self-limited illness (Busse & Lemanske, 2010). Symptoms management such as cough control is the goal and recommended in managing AB. Therefore, the importance of the familiarity of the clinicians with the recent clinical guidelines for AB and adherence to the guidelines is recommended, but can be challenging in terms of consistently utilizing the guidelines into their practice (McCollough, Zimmerman, and Rodriguez, 2014).

This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). This case study will focus on the maintaining a safe environment. It is worth noting that the activities of daily living are interlinked e.g. according to Roper et al (1980) breathing is an activity that is crucial for life therefore all other activities are dependent on us being able to breathe. The nursing management, pharmacological agents and the tools used will be critically