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Asthma Case Study Amy

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Amy Parsons is a 16-year-old who states that she has periods when she experiences severe coughing described as dry, hacking, and non-productive. Amy reports shortness of breath and cough after swimming during summers and cough along with occasional wheezing during fall and winter months when she swims competitively. She has no known allergies, no history of surgeries or hospitalizations, and no chronic illnesses. Amy’s physical exam is unremarkable but she reports four to five colds per year. The test results for Amy’s the peak expiratory flow rates (PEF) are as follow: 290/310/320 with her predicted at 453. The following paragraphs will identify and explain the pathophysiology involved in Amy’s case. Amy’s symptoms can be linked to exercise-induced asthma (EIA) (Grossman, 2014). During EIA attack, individuals experience wheezing and bronchospasm through the loss of heat and water from the tracheobronchial tree due to …show more content…

This includes educating patients and family members regarding way to avoid exposure to irritants that are known to trigger an asthma attack (Grossman, 2014). A detailed history and physical is needed to rule out contributory factors such as nasal polyps, aspirin sensitivity, and gastroesophageal reflux (Grossman, 2014). Included in the prevention method, the annual influenza vaccination is recommended for people with persistent asthma (Grossman, 2014). Other methods include nonpharmacological management such as relaxation techniques and controlled breathing, which helps reduce the panic and anxiety that worsens respiratory asthma attacks (Grossman, 2014). The hyperventilation during anxiety and panic attacks are also known to act as an asthmatic trigger (Grossman, 2014). In children, encouraging independence for symptom control and cultivating positive self-concept are critical for disease management (Grossman,

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