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Asthma Case Studies

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- 17 y/o athletic Male

- Newly diagnosed with asthma

- Patient is concerned about how asthma will affect his social life.

- Hopes to attend University on a sports scholarship.

Further Assessment:

- Assess patient’s daily physical activity routines and how his breathing is during those activities.

- Assess patient for previous health history involving asthma.

- Assess patient for any allergies which could be possible triggers.

1. Ineffective airway clearance related to bronchospasm and increased pulmonary secretions.

(Carpenito, 2013, p. 811)

2. Fear related to scholastic success as evidenced by stating he needs to get a sport’s scholarship to attend University because his parents are unable to afford tuition.

(Carpenito, 2013, …show more content…

Place on oxygen to increase O2Sat levels if it is low.

Place on medicated nebulizer if patient is displaying signs of acute respiratory distress.

Discuss and explain to the patient what asthma is and the signs and symptoms of an asthma attack.
- Asthma is a chronic disorder of the airways. Inflammation causes varying degrees of obstruction in the airways, resulting in recurring incidents of wheezing, cough, breathlessness, and chest tightness.
(Lewis et al, 2013 p.710)
- Asthma attack s&s include: excessive wheezing, coughing and chest tightness, sweating, anxiety and fear, unable to complete sentences due to shortness of breath, and blue lips/nails.
(“Asthma emergency”)

Discuss with the patient the use of his inhalers and how they benefit …show more content…

- Relievers: also known as “rescue” medication, it’s used to ease asthma symptoms and are used as needed.
(Lewis et al, 2013 p.720)
- To prevent oropharyngeal candidiasis, hoarseness and dry cough, rinse mouth after use of inhalant medication
(Lewis et al, 2013 p.723)

How to use an inhaler:
1. Remove the cap and shake inhaler vigorously.
2. Breathe out to the end of a normal breath (not forced).
3. Position the mouthpiece so your lips are closed around it, keeping teeth apart and tongue flat.
4. At the same time you start to breathe in slowly, press the canister into the mouthpiece to release one puff of medication.
5. Continue to breathe in slowly until lungs are full (about 5 seconds) and hold for 10 seconds.
(Lewis et al, 2013 p.726)

Discuss and demonstrate breathing exercises.
- Breathing retraining: is breathing through the nose, rather than the mouth, using the abdominal muscles rather than the upper-chest and accessory muscles.
(Thomas & Bruton, 2014)
- It works best to take slow shallow breaths, instead of deep breaths during an asthma attack.
(Weil, 2012)

Patient’s respiratory assessment is clear throughout all lung fields, and O2Sat is sustained at

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