1.therapy include albuterol, oral steroids, oxygen
In the pediatric age sever asthma exacerbation is an emergency condition ,sever episodes leads to death,medical treatment is to reduce the condition ,
Salbutamol is a bronchodilator which helps in dilatation by relaxing the smooth muscles in the air way,acts on the beta 2 adrenergic receptors and leads to broncho dilatation
Steroids helps in reducing the exacerbation by reducing the mucus secretions
Hypoxia is reduced by oxygen supply
2.acute respiratory distress with wheeze inth right lung is due to obstruction in the lungs ,,wheeze is due to narrowing of the air passage or obstruction occurs in chronic obstructive pulmonary disease
Approach by advise ,self care and use of bronchodilators and steroid to reduce further damage to the lungs ,oxygen supply,advise to stop any habits like smoking ,and stop work or roaming in the dusty areas
3.terbutaline is a bronchodilator
Acts on the relaxation of smooth muscles leads to broncho dilation
4.high intra thoracic pressures
It increase during inspiration
5.decompensation means loss of compensation mechanism,intubation is due to give support to a patient who need assisted ventilation ,gives rest to the respiratory muscles by ventilating but some condition leads to decompensation loss of compensatory mechanism most common cause is intubation induced broncho spasm,hypotension,cardiac arrest,baro trauma and extubation.
1. Which of the following statements is true regarding a 4-year-old patient, 20kg experiencing a severe...
Pulmonology Consultation Report Reason for Consultation: Evaluation of increasingly severe asthma. History of Present Illness: Patient is a 10-year-old male who first presented to the Emergency Dept. with dyspnea, coughing, and wheezing at 7 years of age. Paroxysmal attacks are increasing in frequency and there do not appear to be any precipitating factors such as exercise. No other family members are asthmatics. Results of Physical Exam: Patient is currently in the ED with a paroxysmal attack with a marked dyspnea,...
which patients are experiencing problems with ventilation? Explain your answer. Ratagraph Use your own words only. 1) Winter is a 4-year-old girl with a history of asthma. Her mother has brought her in an "asthma attack". Winter is sitting in her mother's lap and breathing rapidly through an open mouth. She has a cough that sounds congested and wheezy. The physician has already ordered a nebulized treatment containing albuterol (Proventil) and ipratropium bromide (Atrovent). 2) Mr. Chung is a 68-year-old...
Respiratory Case Study. Read the senerio and properly answer the following question that follows it. discuss in details. List at least one reference to support your answers. (Use your own words only.) A. Winter is a 4-year-old girl with a history of asthma. Her mother has brought her in an “asthma attack”. Winter is sitting in her mother’s lap and breathing rapidly through an open mouth. She has a cough that sounds congested and wheezy. The physician has already ordered...
help please. questions 5-16 please PATIENT CASE HPI Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills. "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and toes that came on last night." He denies IVDA. When asked about recent medical or dental proce- dures, he responded: "I...