The Problem Of Acute Respiratory Disease

Acute bronchitis is one of the most common diagnoses encountered in a primary care setting. It affects millions of individuals resulting in significant impact on health of patients and health care industry. Studies have shown that 90% of times acute bronchitis is caused by a virus, yet health care providers are failing to treat or manage these patients with appropriate therapies (Knutson & Braun, 2002). The focus of this paper is to review the guidelines for treatment of acute bronchitis after differentiating acute bronchitis from other common respiratory disease in terms of epidemiology, pathophysiology, clinical features, diagnosis, differential diagnosis, complications and patient education. Understanding the evaluation and treatment guidelines, nurse practitioners can provide evidence-based practice for patients with acute bronchitis.

Many people take breathing for granted, some never give it a second thought until a problem presents itself. Respiratory diseases affect millions of Americans as well as people from all over the world. Anyone can suffer from these disorders to include men, women, and children, with conditions ranging from mild, moderate, to chronic in nature. This paper will focus on one of the many respiratory disease called mycobacterium tuberculosis; more commonly referred to as TB.

1. A physician is called to the intensive care unit to provide care for a patient who received second- and third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory distress and is suffering from severe dehydration. The physician provides support for two hours. Later that day the physician returns and provides an additional hour of critical care support to the patient.

To better understand the impact of asthma, a brief overview of the causes (aetiology) and disease progression (pathophysiology) must be shown. As common as asthma is, not much is known about its aetiology, according to findings presented by Subbaroa, Mandhane and Sears (2009, pg. 181-187) in a review from the Canadian

Asthma is a chronic inflammatory disorder of the bronchial mucosa and hyperreactive bronchial tubes. Its etiology has been linked to both genetic and environmental factors. Several genes, including those that influence the production of proteins and cells involved in the immune response (such as interleukins, eosinophils, mast cells) have been linked with asthma. A decreased number of T-regulatory cells is also associated with asthma. Environmental factors linked with asthma include exposure to allergens, urban residence, and smoking (or exposure to secondary smoke). Recurrent respiratory tract viral infections may also contribute to the development of asthma. Decreased exposure to certain infectious organisms during early childhood, and the consequent underdevelopment of the immune response, can also lead to the development of asthma--this is known as the hygiene hypothesis (McCance & Huether, 2014, p. 1263-4).

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

Respiratory disorder, mostly affect the upper or lower respiratory tract, however bacterial or viral infection are the causative agent and the disease is common in all ages. In addition, the lungs and the bronchi can also be affected, causing inflammation and obstruction of the airflow resulting in wheezing, chest tightness, stridor, low grade fever, cough, and hemoptysis due severe damage to the lung tissues. Most common diseases of the respiratory system include; pneumonia, croup, asthma, bronchitis, laryngitis, and tuberculosis, affected disease location determines the signs and symptoms. Hereditary and environmental factors such as allergens and other irritants can be a contributory factor, especially in children. However, respiratory compromise occur as a result of incomplete airway development among this vulnerable population predisposing them to chronic asthma (Huether & McCance, 2012).

I had a patient with Chronic Obstructive Pulmonary Disorder (COPD) that was receiving albuterol treatments every four hours. The patient was significantly agitated and restless. I knew this patient and this behavior was uncharacteristic of the patient. Before administering the ordered dose of albuterol, I obtained vital signs and noted the patient 's heart rate was significantly higher than the patient 's baseline. The patient 's heart rate was 125 beats per minute, the pulse oximetry was stable at 92% on 2 liters of oxygen. Knowing something was not right, I called the physician. I used the SBAR tool to convey my findings to the physician;

About 10% of American children have asthma (Thakur et al., 2013). It is vital to understand what determinants cause childhood asthma to understand even with a low percentage, why it is still present. According to Williams et al., asthma is a health outcome which is a major impact on American youth (Williams et al., 2009). This health outcome not only impacts them throughout the years of being a child, but it has the potential of creating more serious health problems in the future. And without knowing what the causes are, it increases the rate asthma among children and prevents treatments from being implemented. It needs to be addressed by using results from prior studies in order to show how much of a problem childhood asthma is but also in finding and understanding the other underlying

Moreover, a second area of similarity is the causes of asthma. For instance, the causes of asthma in Australia are strong

Asthma is a chronic inflammatory disease, the symptoms of asthma are wheezing, coughing, shortness of bread, reversible airflow obstruction as well as bronchospasm in the airways. This disease can manifest from childhood through adulthood if is not well taking care of, also it can become life threatening. According to the article Asthma in US Mexican-Origin Children in Early Childhood: Differences in Risk and Protective Factors by Parental Nativity: Over 900,000 Mexican-origin children in the United States have asthma”. This article explains that there is a 50% chance for the children of Mexican-American origin, of being diagnosed with asthma. On the other hand during this investigation it was noted that: That one of the factors that increases

The American Association for Respiratory Care is a non-profit organization which provides numerous resources for registered respiratory therapists all over the United States. Membership through the AARC renders an abundance of incentives such as professional development, respiratory care education, social networking opportunities, continuing education programs and much more. The American Association for Respiratory Care truly believes in the cause of respiratory therapy and in the rights of their patients to receive competent respiratory care. Their advocacy team works with local, state and federal governments concerning public policies that affect their patients as well as their profession.

A review of the medical records indicates that she was admitted to MMHS from 1/22 to 2/7/17 for shortness of breath and cough. She was diagnosed and treated for pneumonia with antibiotic therapy. She suffers from multiple medical illnesses includes chronic CHF with shortness of breath. She uses oxygen 2-3 L/Min, chronic stable HTN, Chronic poorly controlled DM and chronic anxiety.

An initial step to investigate the existence of a genetic or hereditary component of a disease is the demonstration of familiarity. These studies are used to design an epidemiological case-control. Thus it appears on one hand the frequency or prevalence of the disease in relatives of carriers of the disorder, and on the other hand there is the frequency of that disorder in relatives of healthy individuals,

If one of your blood relatives has or had a significant illness, you have an increased risk of suffering from the same illness. Many common diseases and conditions, like heart disease, stroke, diabetes and certain types of cancers, are the result of a combination of factors with genetic predisposition one of the most prominent. In the case of rarer conditions like cystic fibrosis and sickle cell anemia, a family history of the disease is likely the most important predictor of whether or not you or someone in your family will develop that