Emergency Asthma Attack: Don T Have The Inhaler

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.

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

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

10. Neil Rabinski was asked by the care provider if he has had any difficulty breathing, shortness of breath, or noticeable wheezing. This is part of the review of systems for the __________________ system.

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.

At various stages of asthma, preventative measures can be used to control or alleviate the symptoms associated with this disease. Education is an important component to every intervention phase, particularly in primary prevention, because the patient is encouraged to be proactive with their personal health in order to avoid and control the triggers. Prescribed medication, such as an inhaler, and an action plan that is individualized to the specific care of a particular patient is essential in the secondary prevention phase. Finally, in the tertiary prevention phase, the care is directed not only at the common asthmatic symptoms and triggers but also at the complications that result from long-term suffering of this disease. This paper focuses on environmental factors which trigger asthma, with specific focus on children from infancy to 16 years of age in low-income housing, and how the appropriate measure can minimize the triggers and symptoms. The New York City Housing Authority (NYCHA) is the example we will use.

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.

Discuss the prevalence of asthma in certain patient populations that you might see in primary care. Asthma is chronic airway inflammation disorder that is characterized by persistent episodes of wheezing, breathlessness, chest tightness, and non-productive cough, mainly at night and in the early morning. The inflammation of the airway results from physical, chemical, and pharmacologic stimulus, which causes bronchial hyper-responsiveness, constriction of the airways, edema of airway wall, and chronic airway remodeling (Cash, 2014). Asthma occurs at all ages, with about 50% of all cases developing during childhood and another 30% before age 40. In the United States, it is estimated that 25 million people have asthma and the prevalence continues to increase (McCance, & Huether, 2014). Previously, asthma was considered

“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.

Chris reported that his asthma is under control and his school has his asthma action plan.

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.

Asthma Case Study Questions 1.How have the factors that trigger an asthma attack changed since the 1900s? As a researcher, how would you put together the clues given here to explain the emerging epidemic? 2.Why do you think Europeans-and especially the English- are most affected by asthma? Responses 1.Asthma triggers have greatly increased since the 1900’s due to more pollutants in the air and all around us. Denser CO2 emissions, those of industrial complexes, cities and highways full of cars have skyrocketed in the last few decades leading to an massive growth in those with asthma.

He saw that his mom took out her phone and he heard the few obvious words coming from the phone: 911 what’s your emergency? A few police cars came, and he saw his dad in one of them. When the car stopped, he came out of the car, and took out a briefcase out of the trunk.

13-year old Bryan was in his comfy blue bed thinking of what he will do the following day. Tomorrow he will go to a shooting center in Sacramento. He is about to go to sleep when he hears his phone play a series of notes and chords. He realizes that it is a text from Ryan, his best friend. He lifts his cold black Samsung Galaxy S8+ off of its dark blue round wireless charger and looks at the message.