Select either mild, moderate, or severe persistent asthma. Describe a patient with your selected asthma. Describe the symptoms the patient would present with. Describe your treatment of choice and what your patient’s treatment goals would be.
Answer: Asthma is an inflammation of the airways passage lining, due to production of thick mucus more than normal which causes obstruction in breathing. The patient has breathing shortness which gets severe along with the season and the air pollution.
Symptoms include such as chest tightness, short of breath, coughing etc. There is no specific treatment or medicine to cure the disease completely but symptoms can be treated.
Bronchodilators relax the muscle bands that tighten around the airways. Eg. Salbutamol etc.
Select either mild, moderate, or severe persistent asthma. Describe a patient with your selected asthma. Describe...
Matt is a 9 y/o boy with a 3 year history of asthma. He is currently using her beta2 agonist inhaler 4 or 5 times a week and has nocturnal symptoms about twice a month. He is not taking any other medications. History is otherwise unremarkable. Physical exam is normal. Spirometry shows FEV1 = 90%. The correct diagnosis is: a. Severe Persistent Asthma b. Moderate Persistent Asthma c. Mild Persistent Asthma d. Mild Intermittent Asthma. According to the STEP approach,...
A patient has a history of moderate persistent asthma for which he takes a combination inhaler of budesonide and formoterol. He also takes montelukast daily. His asthma has been fairly well controlled with this medication. The patient calls the health care provider’s office to report that he is experiencing some difficulty breathing, and feels congested in his chest. He also reports that he is wheezing. He asks if he should use his rescue inhaler or albuterol What information would be...
A patient has a history of moderate persistent asthma for which he takes a combination inhaler of budesonide and formoterol. He also takes montelukast daily. His asthma has been fairly well controlled with this medication. The patient calls the health care provider’s office to report that he is experiencing some difficulty breathing, and feels congested in his chest. He also reports that he is wheezing. He asks if he should use his rescue inhaler or albuterol. How would the albuterol...
A 49-year-old male patient was admitted to the ER with moderate lower abdominal pain, mild-to-moderate dysuria, pollakiuria and nocturia (at least 5 – 8 times) in addition to hematuria. When taking his history, the patient tells the ER physician that this has gone on for approximately six months. Although the condition has not worsened over that time, it has not gotten better either. The patient also notes that he had been treated for urinary tract infections a total of three times over...
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,...
Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation. Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected. Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the...
CASE STUDY Tina Bremmer is a 20-year-old college student with moderate persistent asthma. She has a cold. While dashing across the campus on a cold fall day, she suffers an asthma attack. Her girlfriend, who is with her, knows that Tina keeps her medication in her backpack. She opens Tina’s pack, finds the inhaler, and gives it to her. Tina uses the inhaler, but instead of achieving relief, she goes into bronchospasm. She is taken to the Emergency Department of...
If the serum prolactin was elevated, in your patient, what action would you take? Describe how to interpret a LIPID profile? What are the recommended levels for triglyceride? What disorders cause elevated triglycerides? What are the recommended levels for LDL? What are the recommended goals for treatment? You are reviewing a urinalysis on your patient. There are RBC’s present in the urinalysis. What would you do?
Generally speaking, clients feel stressed and are often anxious when visiting a health care professional. This stress may be a result of the problem for which they are seeking treatment or simply from the anticipation of the meeting itself. Select one of the age groups either children or adolescents. How would you expect that client to present if he or she had (select one) mild, moderate, or severe anxiety? What are three therapeutic approaches you would use with this client?...
Select and describe a leader you admire. Your selected leader may be either a real-life individual or a fictional character from television, the movies, or a book. Using leadership theories, analyze your selected leader to identify characteristics and provide specific examples of leadership qualities you think contributed to that person's success. Evaluate your own leadership style. Write a paper in which you explain your leadership style and your ideas for improving your effectiveness as a leader based on your comparison...