Asthma Attack Case Study

History of Present Illness: Ms. Dahlberg is a very pleasant 69-year-old woman who suffers from poorly controlled asthma. She has a recent exacerbation requiring hospitalization at Anna Jaques Hospital in June. Since discharge, she states that she has done well. She has stable dyspnea on exertion. She does feel that perhaps it might be slightly worse given the heat and humidity. She is not complaining of any cough. She is compliant with her bronchodilator regimen.

In an emergency situation, why is a drug most commonly delivered via injection versus an oral route?

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 (1980). This case study will focus on the maintaining a safe environment. It is worth noting that the activities of daily living are interlinked e.g. according to Roper et al (1980) breathing is an activity that is crucial for life therefore all other activities are dependent on us being able to breathe. The nursing management, pharmacological agents and the tools used will be critically

R.J. is a 15-year-old boy with a history of asthma diagnosed at age 8. His asthma episodes are triggered by exposure to cats and various plant pollens. He has been using his albuterol inhaler 10 to 12 times per day over the last 3 days and is continuing to wheeze. He normally needs his inhaler only occasionally (2 or 3 times per week). He takes no other medications and has no other known medical conditions. Physical examination reveals moderate respiratory distress with a respiratory rate of 32, oximetry 90%, peak expiratory flow rate (PEFR) 60% of predicted, and expiratory wheezing.

I happened to be at Walmart at the time and I was in Walmart in the sporting good department checking to see if they had .22 ammunition in stock. There happened to be another person there who was a caucasian man who appeared to be in his late 50’s wearing a plaid button up shirt and shorts. I tried to spark up a conversation on how hard it is to find .22 ammunition in stock now days and other small talk related to the subject as we both were leaving the building. When we got to the parking lot I looked at my phone, which I pretended was dead, and asked him if I could barrow his phone to make a call to let my father know they didn’t have the ammunition in stock and he agreed to do so. I thanked him for allowing me to

Cx called about her internet that was not working, Cae was able to reflet reason for contact and demonstrate concern by using emphaty/relate statement. Cae was able to authenticate the account and asked probing questions and set customer's' expectation that she might be sending a technician if the issue wasnt resolved. Cae proceeds with the troubleshooting and choose correct ITG however, failed to follow/asked all LOQ's, at mark 06:02 cae asked " how was that Sir? hello?! just tell me when your ready because i need to check my clock" using a disgusting voice. Cae sounded annoyed when asking information that was provided by the customer since cae was having a hard time hearing him, could have asked verifying questions with a good tone of voice

calls during work hours outside of a designated break or dinner time, these are to occur in an area not

Upon my arrival, I met with the caller and store owner, Mr. Sajee Puttan. He related that the described male was using derogatory and foul languge towad his female customers. Mr. Puttan related that this is an ongoing issue with this unknown male and a verbal argument ensued when he was asked to leave the store today. Mr. Puttan related that he did not wish to sign criminal charges at this time, but did request

On Wednesday, March 09, 2016 at approximately 7:30 p.m. Resident Assistant (RA) Jessica Estrada, Resident Assistant (RA) Christina Mbadie, Resident Assistant (RA) Phuong Phung, Resident Assistant (RA) Miki Sylva, Resident Assistant (RA) Keva Evans, Resident Director (RD) Krystol Myers, and Janneal Pennant were in the second floor lobby for their weekly active. Resident Kyle Palani Canacunga was passing by with a shopping cart. RD Krystol approached Kyle and kindly asked him if she could take the cart because they were now only allowed to be out during check in and check outs. Kyle then refused to comply and started raising his voice trying to convince RD Krystol that he would bring the cart back. RD Krystol explained to Kyle that the privilege for the carts had been lost due to people taking them and not bringing them back. Kyle then stated, “You know me, I am going to bring it back.” RD Kyrstol explained to him that it will not be fair for other residents if she allowed him to use the cart. Kyle then said, “This is bullshit, Krystol.” Then he walked away.

“Sarah is at Children's Hospital, in the ICU”. Those are the words that changed my life. Sarah is extremely sick and it's making me want to be smart, strong, and kind. My sister, Sarah had lung failure when she was in 7th grade, she was hospitalized and stayed at Children’s Hospital in the ICU for around a week. Nearly a year later they found out what was wrong with her, she has Chronic Eosinophilic Pneumonia and Severe Asthma. When I saw her get sick I saw her being strong, nice, and keeping up on school work she made me want to have these qualities as well.

When I worked in Lakewood Police Records, one of my responsibilities was to answer phone calls from the public. Sometimes, people would quickly escalate, in particular when

Your airway has smooth muscles around the outside of the airway tubes also known as bronchial tubes. The tubes are open allowing air to flow freely; during an asthma attack those muscles begin to tighten that is called a bronchospasm restricting the airflow. During an asthma attack the lungs also become inflamed and the mucus in the tubes begins to become thicker and builds up, this makes it even more difficult for air to pass through the opening of the tubes. With the airway being restricted and the mucus build up causes a wheezing sound and shortness of breath and difficulty in inhaling and exhaling air (WebMD).

John called asking when a part for his cup holder would be in. He was told two days so he went ahead and made a service appointment when the part would be in to ensure everything could get done at the same time. When he arrived for his service appointment he was told by Brian that the part was not in. John states that Brian said 'I don't know who you spoke to and I don't know what to tell you. We don't have it'.

Alexis, the cashier, did not have a hello greeting for the customer. She looked up at the customer smiled and asked for the Ingles Advantage Card. She did work effectively to remove the products to get them scanned. The bagger wore a name tag that said Service Clerk. He was a Caucasian male, five feet, ten inches tall, about twenty three years old with short brown hair. He wore a dark polo shirt, khaki pants and an apron. He separated food and non-food items and doubled bagged the larger, heavy items. I never saw this bagger say anything to the customer or look at the customer. He bagged the products, put them in a cart and pushed the cart to the end of the checkout. Alexis smiled and said thank you to the customer as she gave them the

Onset: A 18-year-old female presents with a chronic diagnosis of Asthma with an acute exacerbation for two days.