The school nurse recognizes that Jamey is using correct inhaler technique when Jamey does which?
How to Write a Summary of an Article? Angela Marie Ferrer BSN 3B July 17, Definition A condition of the lungs characterized by widespread narrowing of the airways due to spasm of the smooth muscle, edema of the mucosa, and the presence of mucus in the lumen of the bronchi and bronchioles.
Bronchial asthma is a chronic relapsing inflammatory disorder with increased responsiveness of tracheobroncheal tree to various stimuli, resulting in paroxysmal contraction of bronchial airways which changes in severity over short periods of time, either spontaneously or under treatment.
Causes Allergy is the strongest predisposing factor for asthma. Common triggers of asthma symptoms and exacerbations include air way irritants like air pollutant, cold, heat, weather changes, strong odors and perfumes.
Other contributing factor would include exercise, stress or emotional upset, sinusitis with post nasal drip, medications and viral respiratory tract infections.
Most people who have asthma are sensitive to a variety of triggers. Factors that can contribute to asthma or airway hyperreactivity may include any of the following: House dust mites, animal allergens especially cat and dogcockroach allergens, and fungi are most commonly reported. Based on a prospective cohort study of 86, patients, those with an elevated body mass index are more likely to have asthma.
In some instances cough may be the only symptoms. An asthma attack often occurs at night or early in the morning, possibly because circadian variations that influence airway receptors thresholds. An asthma exacerbation may begin abruptly but most frequently is preceded by increasing symptoms over the previous few days.
There is cough, with or without mucus production. At times the mucus is so tightly wedged in the narrow airway that the patient cannot cough it up.
Prevention Patient with recurrent asthma should undergo test to identify the substance that participate the symptoms. Patients are instructed to avoid the causative agents whenever possible.
Knowledge is the key to quality asthma care. Medical Management There are two general process of asthma medication: Because of underlying pathology of asthma is inflammation, control of persistent asthma is accomplish primarily with the regular use of anti inflammatory medications.
They are broadly effective in alleviating symptoms, improving air way functions, and decreasing peak flow variability. Cromolyn sodium and nedocromil are mild to be moderate anti-inflammatory agents that are use more commonly in children.
They also are effective on a prophylactic basis to prevent exercise-induced asthma or unavoidable exposure to known triggers. These medications are contraindicated in acute asthma exacerbation. They have the rapid onset of acton. Anti-cholinergic may have an added benefit in severe exacerbations of asthma but they are use more frequently in COPD.
Nursing Management The main focus of nursing management is to actively assess the air way and the patient response to treatment. The immediate nursing care of patient with asthma depends on the severity of the symptoms.
The lower respiratory tract consist of the bronchi, bronchioles and the lungs. The major function of the respiratory system is to deliver oxygen to arterial blood and remove carbon dioxide from venous blood, a process known as gas exchange. The normal gas exchange depends on three process: This is accomplished through the mechanical acts of inspiration and expiration.
Control of gas exchange — involves neural and chemical process The neural system, composed of three parts located in the pons, medulla and spinal cord, coordinates respiratory rhythm and regulates the depth of respirations The chemical processes perform several vital functions such as:Case Study: Patient With Asthma.
Print The patient’s condition in this case is well managed according to guidelines of disease and various evidence based studies. For acute asthma management, the patient was given salbutamol, which is a short-acting β2 agonist; ipratropium, which is an anti-muscarinic and also an oral steroid which is.
Case studies Read the experiences of some of our Asthma UK Research and Policy volunteers and what getting involved in our research programme has meant to them. Latest Case Study Barry. Obesity in Asthma. Start the case study. Anne. Diagnosing and treating asthma in adults Frequent exacerbation of acute asthma.
Start the case study. Paul Part 2. Post asthma attack review. Start the case study.
REAL Respiratory Clinic, Education for Health, The Athenaeum, 10 Church Street. The clinical case manager coordinates the asthma team and the clinic activities including preparation, logistics, patient flow, consultations, referrals, and follow-up appointments, and performs individual patient procedures, treatments, and tests.
Keywords: Asthma, carcinoid tumor, intrabronchial tumor, pulmonary carcinoids, severe allergic asthma, typical carcinoid tumor, uncontrolled asthma CASE PRESENTATION A year-old white woman, a housewife, was admitted to our tertiary clinic complaining of wheezing and dyspnea.
Nursing Care Study 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 ().