Question

Respiratory Therapy

Asthma Case Study

Initial History:

15 yo girl complaining of chest tightness and dyspnea

Mowing lawn when symptoms develop

Prodrome of rhinorrhea and tearing along with chest symptoms

Felt no better after going outside

Now one hour later

Additional information:

Hx of asthma since childhood, mother and brother have asthma

Allergic to grass, ragweed and cats

Productive cough clear phlegm

Uses a “blue” inhaler for past six months, BID

No other hx

Physical examination:

Alert, anxious, T=37, P=105, RR=30, BP=115/68, skin flushed and pink, diaphoretic, prolonged expository wheezes throughout all lung fields.

Lab results:

ABG (RA) pH 7.55, CO2 30, O2 65O2

Peak flow = 200 (less than 50% predicted)

WBC 5500

Repeat lab: (1 hour later)

ABG pH 7.35, CO2 43, O2 45 (40% VM) unable to perform peak flow

Patient does well with normal labs during hospital coarse. Discharged on the 5th day.

What should the chronic pharmacologic management of her asthma be?

Answer 1

PAGE NO.: DATE: Ans. In the given Case Study the patient is suffering from Asthma and the chronic Pharmacologic management is. as follows For chronic Asthma Corticosteroids are very effective, they improve airway functions. In this Condition the medications such as Prednisone, Prednisolon etc. Can be given. I Inhaled Beta agonists such as Salmeterol Can be given. Leukotriena montelenkast Theophyline modifiers such as are also prescribed. is also given.