Case Study on Asthma Samples for Students-Myassignmenthelp.com

Questions: 1.Describe the probable reasons for Geronimos acute exacerbation of Asthma. 2.Based on the history provided by Geronimo and his mother, determine which classification of asthma Geronimos Asthma fits. 3.Explain the results of his spirometry test. An arterial blood gas (ABG) testing is recommend by a junior doctor for Geronimo, do you agree with this suggestion? 4.Describe the different forms of Asthma medication and when each should be used. Answers: 1.The boy in the case study has been unfortunate to experience exacerbation of asthma. By this statement it means that the airways of the patient had swollen up in such a way where his bronchioles have become narrow. This had mainly taken place due to contraction of the muscles present there (Hockenberry Wilson, 2014). The case study has reported that the patients mother has stated that he had developed upper respiratory tract infections. Often different types of infection due to micro-organisms may be one of the reasons. Cold, flu and other infections may also be considered to be the main causal factors which imply that bacterial and virus may have invaded the patient causing the development of asthma. These micro-organisms have triggered the development of asthma. This in turn is believed to be one of the main reasons of the narrowing of the airways that had resulted in development of sensitivity (Kenyon et al., 2014). There is a particular type of asthma that may also occur due to heavy excises often referred by many as exercise induced asthma. This might have also affected him as he had participated in the game resulting him to conduct aerobic workout. This might have resulted in occurrences of symptom like tightness and coughing. Moreover the case has also reported that there had been thunderstorms that had taken place. Such changes in weather may also act as a causal factor as dust mites are often considered by researchers to be another trigger that causes the occurrences of asthma. 2.Four of different types of asthma that affect individuals are severe persistent asthma, moderate persistent asthma, intermittent asthma and mild persistent asthma (Kuethe et al., 2013). The case reports that vital signs analysis said had a heart rate of 26 beats per minute and moreover his FEV was also found to have been raised to a higher degree. The FEV had increased to be 1.64 L and thus accounts for about 55% of the normal value that is predicted. Soon after the healthcare professional had conducted proper interventions, it was found that the patient had responded well to the treatment and his heart rate was decreased to 21 beats per minute. Following the intervention, her FEV increased and became 2.2 L that accounted 74% of the predicted value. The patient was suffering from moderate persistent asthma. This is because researchers have clearly stated that a patient who has a FEV value within 60% to 80% can be categorised in the group of moderate persistent asthma. The patient had a FEV which is about 74% of the normal and thus can be designated as a patient for moderate persistent asthma. Moreover it is also seen that he has to take medicines for protecting him from the symptoms every day which is also necessary for patients suffering from this type of asthma (Zone Guide, 2017). Moreover this type of asthma interferes with the regular activities of individuals which also happened in case of the patient when he tried to play soccer. 3.Spirometry is a special kind of test that is mainly con ducted by healthcare professionals in order to be assured that whether any kind of lung disorders are present or not. They mainly help to understand the breathing patterns of an individual by assessing the volume as well as the flow of the air which the patient inhales and exhales (Proctor et al., 2015). Forced expiratory volume in one second is designated as FEV1. It mainly helps to determine the total volume of air that an individual can blow out in one second after a full inspiration period (Sweet et al., 2014). Another component of the test is the forced vital capacity. Spirometry test was conducted and initially it was found to be 55% but after when the test was conducted again for evaluation, it showed the presence of /fev1 which were 74%. This showed that the patients condition was gradually recovering from the emergency condition. Arterial blood gas test helps doctors to understand whether any acidity is present it the blood or not. It will also help to understand how well the lungs of the patient are functioning and thereby removing blood as well as carbon dioxide form blood (Konstanataki et al., 2014). It can be conducted in asthma and COPD patients to find out whether they would require any extra amount of oxygen so that the patient can breathe efficiently. It also helps to find out of the right amount of blood is entering the lungs or not. 4.The medications that are used for the asthma patients are always prescribed taking certain factors in consideration. These are symptoms, age, side effects and others. Medications that are utilised for allergy induced asthma can include medications like allergy shots (immuniotherapy), omalizumab (Xolair) and others. They mainly work by reducing the bodys sensitivity to different allergen. Health care professionals may provide medications like inhaled corticosteroids, long acting Beta agonists which are called LABAS, leukotriene modifiers, theophylline and others (Kelly et al., 2015). These medications mainly control the different symptoms of asthma and also prevent any kinds of attacks of asthma. Another category of medications that is used to quickly provide relief and mainly act as rescue medications include intravenous as well as oral corticosteroids. Besides, short acting beta agonists are also used that includes albuterol and also ipratropium. They are mainly used for asthma pr evention and provide short term relief. Steroids and other anti-inflammatory drug mainly act by reducing swelling as well as mucus production in the respiratory tract. Bronchodilators act by relieving the symptoms of asthma. They work by relaxing the muscles that actually get tightened around the airways and thereby helps it in opening up. Asthma inhalers are another effective ways of delivering drug in such a way that it reaches the drugs. With persons having issues in using asthma inhalers use asthma nebulisers. It must be remembered that they should be used for short course. Using them for long course will result in complications (Kelly et al., 2015). References: Hockenberry, M. J., Wilson, D. (2014).Wong's nursing care of infants and children. Elsevier Health Sciences. Kelly, R. P., Stoll, S. C., Bryant-Stephens, T., Janevic, M. R., Lara, M., Ohadike, Y. U., ... Malveaux, F. J. (2015). The influence of setting on care coordination for childhood asthma.Health promotion practice,16(6), 867-877. Kenyon, C. C., Melvin, P. R., Chiang, V. W., Elliott, M. N., Schuster, M. A., Berry, J. G. (2014). Rehospitalization for childhood asthma: timing, variation, and opportunities for intervention.The Journal of pediatrics,164(2), 300-305. Konstantaki, E., Priftis, K. N., Antonogeorgos, G., Papoutsakis, C., Drakouli, M., Matziou, V. (2014). The association of sedentary lifestyle with childhood asthma. The role of nurse as educator.Allergologia et immunopathologia,42(6), 609-615. Kuethe, M. C., Vaessen-Verberne, A. A., Elbers, R. G., Van Aalderen, W. M. (2013). Nurse versus physician-led care for the management of asthma.Cochrane Database Syst Rev,2. Procter, S., Brooks, F., Wilson, P., Crouchman, C., Kendall, S. (2015). A case study of asthma care in school age children using nurse-coordinated multidisciplinary collaborative practices.Journal of multidisciplinary healthcare,8, 181. Sweet, L. L., Polivka, B. J., Chaudry, R. V., Bouton, P. (2014). The Impact of an Urban Home?Based Intervention Program on Asthma Outcomes in Children.Public Health Nursing,31(3), 243-252. Zone, C. P. D., Guide, S. (2017). Asthma in children.Sign,3531(937).