Frances Johnson is a 31-year-old woman who presents to her healthcare provider with mild shortness of...

Frances Johnson is a 31-year-old woman who presents to her healthcare provider with mild shortness of breath and a non-productive cough, worse at night. Her symptoms deteriorated slightly with a cold several weeks previously and have not improved. She also complains of itchy eyes, sneezing and persistent blockage of her nose. She was diagnosed with asthma at the age of 12 and given a blue and a brown inhaler. She remembers undergoing skin prick testing, which was positive for house dust mite allergy. Her asthma was not a problem until the last few years when she restarted inhaled salbutamol. She now needs this 3–4 times per day to help her breathing. She does not measure her peak flow rates as she has lost her peak flow meter but remembers her best was around 400 L/min.

Summarize Miss Johnson’s problems.
How should you approach assessment of her asthma?
What other information do you need to complete this assessment?

On examination: She is speaking in full sentences Respiratory rate is 20 breaths/min. Pulse rate is 90 beats/min. Her peak expiratory fl ow rate (PEFR) is 320 L/min (best 400 L/min.) She has a mild expiratory wheeze to hear on auscultation of her chest.

How does this new information alter your assessment?
What are the aims of asthma treatment?
What treatment will best achieve control of her asthma symptoms?

Expert Solution

Assess the patients peak flow

Assess for breath sound

Aseess the level of oxygen saturation in her blood

monitor patients vital signs

Assess the patients respiratory status by the severity of symptoms

along with these informations,

we should collect the history of the patient,including allergies,first asthma attack,medication,any other respiratory probelms,medication allergies these all information needed for complete her assessment.

above information her respiratory rate is normal only it is 20 breaths per min and the peak flow rate is some what normal,by these we can identify she have only mild asthma.

The main aims of asthma treatment are, prevent chronic symptoms that affects the daily living,such as shortness of breath,cough,maintain lung function normally.

The best treatment measure for control asthma in now a days is inhaler therapy,we can use bronchodialators,or steroid antiinflammatory medication for effective treatment of asthma.

plz give a thums up

Nightingale answered 2 years ago

S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of...

S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of breath, productive cough, and swelling in both legs. The patient has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16, and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases. The patient is started on a nebulizer treatment, and...

A 30-year-old woman goes to her provider and complains of shortness of breath, fatigue, weakness, dizziness,...

A 30-year-old woman goes to her provider and complains of shortness of breath, fatigue, weakness, dizziness, and tachycardia. The physician does a complete blood count and a metabolic chemistry panel. Her results are below. WBC: 8400 cells/LDH: 1500 IU/L RBC: 1,450,000 cells/LNa: 138 mEq/L Hgb: 6.3 g/LK: 2.8 mEq/L HCT: 20%Alk Phos: 25 IU/L MCV: 105 fL Cholesterol: 95 mg/dL Vitamin B12: 100 ng/L a) Which of her results are abnormal? b) These abnormal laboratory results reveal what disease state?...

Emily Johnson is a 38 year old mother of 2 who presents to her primary care...

Emily Johnson is a 38 year old mother of 2 who presents to her primary care physician’s office with rapid heartbeat, rapid breathing, dizziness, and fatigue. During initial intake, Emily states that she began the Military Diet after her being disappointed by her weight at her last doctor’s appointment. She weighed 196 pounds (height 5’4”) at her appointment and since starting the diet last week she now weighs 188 pounds. She has been following the “Military Diet” which consists of...

Frances is an 84-year-old woman who suffers from macular degeneration, osteoporosis, and arthritis. Since her husband...

Frances is an 84-year-old woman who suffers from macular degeneration, osteoporosis, and arthritis. Since her husband died a year ago, she has moved from their family house to a small apartment. Her eyesight is progressively getting worse, making it hard to go to the grocery store or even to cook (for fear of burning herself). She is often lonely. Her only son lives 1 hour away and works 2 jobs, but he visits her as often as he can. Frances...

Frances is an 82-year-old woman who suffers from macular degeneration, osteoporosis, and arthritis. Since her husband...

Frances is an 82-year-old woman who suffers from macular degeneration, osteoporosis, and arthritis. Since her husband died a year ago, she has moved from their family home to a small one-bedroom apartment. Her eyesight is progressively getting worse, making it diffucult to go to the grocery store or even to cook (for fear of burning herself). She is often lonely; her only son lives an hour away and works two jobs, but he visits her as often as he can....

A 45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough...

A 45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. In your Case Study Analysis...

A 25-year-old previously well woman presents to doctor’s office with complaints of episodic shortness of breath...

A 25-year-old previously well woman presents to doctor’s office with complaints of episodic shortness of breath and chest tightness. She has had the symptoms on and off for about 2 years but states that the have worsened lately, occurring two to three times a month. She notes that the symptoms are worse during the spring months. She has no exercise-induced or nocturnal symptoms. The family history is notable for a father with asthma. She is single and works as an...

A 35 year old woman comes to her primary care provider with the chief complaint of...

A 35 year old woman comes to her primary care provider with the chief complaint of severe insomnia. She states that it is very difficult for her to fall asleep and stay asleep. She says she has lost 18 pounds over 4 months. She now has a BMI of 19. She seems nervous and is easily irritable. She is afebrile, has a heart rate of 106 per minute, blood pressure of 146/78 and respiratory rate of 20. Her eye examination...

D.G. is a 74-year-old woman who arrives at the emergency room complaining of shortness of breath,...

D.G. is a 74-year-old woman who arrives at the emergency room complaining of shortness of breath, palpitations (for 2 days), and lower extremity edema. Her medical history includes diabetes mellitus, hypertension, heart failure with reduced ejection fraction, and osteoarthritis. She had a left heart catheterization and coronary angiography last year and has no significant coronary artery disease. She has a biventricular pacemaker/implantable defibrillator for heart failure symptom treatment and sudden cardiac death prevention. The patient’s current medications are losartan 100...

Daryl is a 32?year?old man who presents with a 6?month history of shortness of breath even...

Daryl is a 32?year?old man who presents with a 6?month history of shortness of breath even during activities that require only minor exertion. He has noticed increasing limitation in his exercise capacity and denies wheezing, cough, or phlegm production. He has smoked for 15 years and continues to smoke. Daryl's father has been told he has early compensated cirrhosis but has never drank alcohol; his mother is in good health. Daryl’s serum protein electrophoretic results are shown below: Adult...

Question