Asthma Case Summary

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

Marcy is a 34-year-old female here today with her daughter for a followup regarding her chest pain and GERD. The patient tells me following her last evaluation on July 1st, she did take the Nexium as was recommended. She was taking 40 mg for about a month. She said that worked very well. Her symptoms lessened and ultimately resolved. However, when she ran out of the Nexium, the symptoms are back again. She feels a pain in the lower sternum area, as well as in the upper epigastric area and was relieved when it went away with the Nexium. She has not continued to take it and wonders what she should do next. She is eating and drinking normally. She did try to cut back on dairy as she initially thought that might be related, but found that was not the case and now has that back in her diet. She is up three pounds since I last saw her and is at her highest weight that I have in the office. She is having no nausea, no vomiting. No early satiety. There is no diarrhea. No constipation. No blood in the stool. No melena. She wonders what the next step should be. She does tell me that when she was talking with her family, her mother has had an ulcer and her sister has been diagnosed with "stress ulcers" in the past.

Eight-year-old B.J. has had asthma for 2 years since he had acute bronchitis. He was tested for allergies and demonstrated marked responses to a number of animals, pollens, and molds. B.J. also has a history of asthma related to exposure to very cold weather.

“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.

Nurses always play a vital role in patient safety and care. In contrast with the past, today the nurses are well-informed, with a focus on coordinating patient care and the use of critical-thinking skills. Being a significant health care professional involved in the patient care, nurses have several responsibilities such as preventing medication errors, ensuring the patients attain accurate treatment and above all upholding the patient safety. While coming to case management nurses, they need to have deeper understanding of healthcare services and their application. In addition, they must have enhanced organizational talent and effective communication skills with the patients and with different sources on behalf of these patients.

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.

Caleb is a 10-year-old male here today with his mother with complaints of a cold and a sore throat.

At today’s visit she is accompanied by her husband. She is awake, alert and oriented times one. She denies pain, chest pain, and shortness of breath. The husband reports that the patient appears stable at this time, but she is not eating as much as she used to. She reports that she is able to dress herself, feed herself and shower herself. The husband reports that it is increasing difficulty to get her to her doctor appointment and that she wonder at time. No acute distress noted. KPS 50%.

Character: Complains audible wheezing and shortness of breath that has been present for 2 days.

This is 37 year old white male. Patient reports history of asthma, but unable to get his inhaler because of his current homeless situation. Patient reports his asthma is mild and well controlled at this time, he may use his inhaler 1 -2 time per month as needed. Patient has chronic bilateral knee joint pain, and lumbar neuopath. Patient is a non-tobacco user, denies use of alochol or illicit drug use. Patient denies chest pain, SOB N/V/ D, or fever.

Asthma is a major health concern in children under the age of 18. Not only does it have an estimated annual cost of $3.2 million, it accounts for 10 million lost school days, and it disrupts a child’s ability to participate in physical activity. A child with asthma’s exercise performance may decrease from a sedentary lifestyle and the threat of developing an exercise-induced bronchospasm. Granted, keeping asthma patients physically active has proven health benefits and allows for an improved quality of life. The article Benefits of Swim Training for Children and Adolescents with Asthma examines numerous studies that show the benefits of using swimming as a non-pharmacological method for decreasing the severity of a child’s asthma symptoms.

A myocardial infarction (MI) was a possibility as blood test results showed raised troponin levels and Lucy complaining of chest pain. With further investigation Lucy’s symptoms of sharp chest pain worsening on inspiration is not common for an MI (Albarran & Tagney, 2007). There was no ST elevation on the ECG which made pericarditis unlikely, although a non-ST elevation MI was a

Asthma is among the diseases that have shown a significant increase in prevalence in recent attacks of wheezing. Asthma is a chronic condition characterized by periodic attacks of wheezing, coughing and shortness of breath. More than 7 million US children suffer from it and worldwide it’s nearly 150 million. Asthma constrict the airways that lead to the lungs and partially block the passage for air to pass through.

Every year the number of people who develop asthma continues to grow. Eight percent of the world has asthma which equates to about one of every twelve people. The cost of asthma medications and doctor’s appointments average $3,300 a year. There is a lot of people in this world that do not understand asthma, so we will start out with the basics. What is asthma? Asthma is a chronic lung disease that causes narrowing in the airways of the lungs due to inflammation of the bronchial tubes. Asthma can be triggered by many things such as allergies, perfumes, or a common cold. Asthmatics can suffer attacks which can consist of wheezing, chest rightness, coughing and/or shortness of breath. However with asthmatics their coughing occurs most the time

1990: Diagnosed with peptic ulcer disease, which resolved after three months on cimetidine. She describes no history of cancer, lung disease or previous heart disease.