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,
Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six
Why do you think Melissa is instructed to use the albuterol inhaler prior to exercise and before she ever has any
The information collected in the history was highly suggestive of COPD. One of the best predictors of airflow obstruction was the patient’s smoking history (Qaseem, et al., 2011, pp. 181). According to Qaseem, et al. (2011), the presence of the patient’s smoking history and wheezing on physical examination is indicative of airflow obstruction (pp. 181). Additionally, the patient’s presenting complaint was dyspnea on exertion, which is one of the most commonly presenting complaints in patients with COPD (Boardman, 2013, pp. 446). The chronic nature of the patient’s cough and slow progression of symptoms are consistent with a diagnosis of COPD rather than asthma. Finally, the diminished breath sounds on auscultation is indicative of airflow obstruction and considered to be a reliable finding in the diagnosis of COPD (Boardman, 2013, pp. 447). In addition to the new diagnosis of COPD, the patient also had current diagnoses of hypertension, hyperlipidemia, and osteoarthritis.
“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.
1.2. During an asthma attack, the air passages become narrow, their surrounding muscles tighten, and stickier mucus is produced. Patients experience symptoms like coughing, wheezing, chest tightening and breathlessness. Severe asthma attack can cause restriction of oxygen into the lungs and bloodstream (British Lungs Foundation, 2014). This can be dangerous and life threatening if immediate medical treatment is not received. Asthma symptoms are usually severe at night (NHS Choice, 2014). This can disturb patient’s sleep and can affect their behaviour and concentration. Asthma can also affect the patient ability to do physical exercises as well as their daily routine.
During the clinical experience, I was able to care for a patient with the diagnosis of adult onset asthma. J. D. was a twenty-year-old with a one-year history of mild persistent asthma. His body mass index was 30, and he was a former 1/2 pack per day smoker for one year. Also, other lifestyle factors included social alcohol drinking (1-2 drinks per/day) over the last year since he moved out on his own. He did not regularly exercise, and he admitted to not using his daily Qvar. He lives with a roommate that does smoke in the apartment. His sister was the only family member with asthma and was diagnosed in childhood. He was being treated with a low dose inhaled daily corticosteroid (Qvar 80 mcg/daily) and a short-acting
The objective of this study was to determine the acute and immediate effects of cold and warm air exercise on pulmonary functioning testing (PFT) and the presence of exercise-induced bronchospasm (EIB) in seemingly healthy athletes. The researchers also wanted to conclude if there was a significant decrease of PFT variables like peak expiratory flow rate (PEFR), forced vital capacity (FVC), and forced expiratory volume in one second (FEV1.0). The study included the participation of eight men and four women with a mean age of 31.6 + 4.8 years and 27.3 + 5.0 years respectively. Each runner had to confirm the following prior to participating in the experiment: 1) rid of any metabolic, cardiac, and respiratory diseases, 2) run at least 20 miles each week, and 3) land within 21 and 45 years old. The experiment occurred in January in Minnesota. The two settings were an outside course and a treadmill indoors with a 6% grade and speed adapted to accommodate the runners’ 85-95% maximal heart rate (MHR).
Asthma is the most common childhood condition in Australia (Better Health Channel, 2015). The National Institute of Health [NIH] (2014), describes asthma is a chronic long-term lung disease that causes a person’s airways to swell and become very sensitive. The airways are tubes that carry air into and out of a person’s lungs. When theses airways react to certain stimuli, the muscles around them tighten, narrowing the airways and causing less air to flow to the lungs. When this occurs, cells in the airways can also make more mucus than usual, which causes a sticky, thick liquid to be excreted and further narrows the swollen airways. This process is all caused when the person inhales certain substances that aggravate the sensitive airways.
The patient may complain of episodes of dyspnea, chest tightness, coughing (particularly at night), wheezing, or a whistling sound when breathing. These often occur in association with exercise, but also occur suddenly or in association with known allergens.
Powered byLoading...Megan Greene Professor Gretchen Leach Warzecha IDS 101 5 February 2016 Research Plan Asthma “Asthma is a chronic disease of the lungs that inflames and narrows the airway” (National Heart, Lung, and Blood Institute). Asthma is not biased it affects the young and the old. Asthma can be brought upon by genetics and/or by triggers within their environment like dust, pollen or smoke. An asthma attack occurs when the lungs are subjected to an irritant which then causes the airways to swell. This swelling causes what is called wheezing, which is a whistling sound caused by air being pushed through swollen, irritated airways. Another by-product of an asthma attack is air trapping. Air trapping occurs when a patient, who is having a
Caleb is a 10-year-old male here today with his mother with complaints of a cold and a sore throat.
My son was born with a severe upper respiratory disease. He had to undergo several years of intensive treatment and on occasion, surgery from birth to 12 years of age. Consequently, respiratory disease is an illness that affects everyone in our household to some degree. However, my son's battle with the disease was life threatening and his livelihood was seriously impacted by this disease.
A 25-year-old female with a history of seasonal allergies presents with intermittent shortness of breath when exercising for the past 6 months. She also notices occasional waking up at night due to shortness of breath, about 2 times per month. You administer a peak flow and she reaches 75% of her peak flow. What is the best treatment for her condition?
You both provide some great examples of research studies that showcase ethical issues. Another one I came across is the death of Ellen Roche. She was a healthy 24-year-old research volunteer in an asthma study, which passed away as the result of inhaling hexamethonium, a medication for the treatment of hypertension, back in the 50s and 60s (Kim, 2012). After developing a bad cough, Roche ended up on a ventilator and eventually developed multiple organ failure, which resulted in her premature death (Kim, 2012). The purpose of study was to provoke a mild asthma attack, which would help physicians understand the reflex that protects healthy lungs against asthma attacks (Kim, 2012). Kim (2012) states that though both the National
Asthma is a complex disease that affects children and adults worldwide. This essay will be looking at Steven, a 15 year old boy who been diagnosed with asthma since he was 2. Understanding the pathophysiology providing and maintain good care of the condition. As Steven is an adolescent transitioning into young adulthood, growth and developmental theories will be discussed as they provide solid foundations leading into care. Following on, family centred care will be conversed with a highlight of Steven’s presentation and what it means for those around him.