Question

• Asthma

1. Presentation & Diagnosis • o What are the subjective findings (symptoms that the patient reports, ex: SOB) associated with the condition? List a minimum of 3. o What are the objective findings (exam findings that you can measure, ex: tachypnea) associated with the condition? List a minimum of 3. o How is the diagnosis determined or confirmed? o What factors do you need to consider in selecting the best medication for the patient with the condition?

2. Treatment • o List 3 medication treatment options for the condition in the OUTPATIENT setting (cite with appropriate guidelines or scholarly, peer-reviewed journals). o List the mechanism of action for each drug. o List 3 potential adverse responses associated with each drug. o List 3 medication teaching points for each drug prescribed.

3. Scholarly Support & Interactive Dialogue • o Discussion post is supported with appropriate sources*^ o Source is published within the last 5 years o Reference list is provided and in-text citations match o Student provides a substantive** response to at least one topic-related post of a peer o Student responds to all direct faculty questions OR if student was not asked a direct question student responds to either a 2nd peer post or a faculty question directed towards another student

Answer 1

Shortness of breath (SOB) is also one of the primary symptoms of asthma, a condition in where the lung's airways inflamed and blocked. If you have asthma, your lungs are more prone to the irritation that causes shortness of breath.

ASTHMA

<<<<<Í<<<

A. DESCRIPTION

1. Chronic inflammatory disorder of the airways that causes varying degrees of obstruction in the airways.

2.Asthma is marked by airway inflammation and hyperrresponsivenes to a variety of a stimuli or triggers.

ASTHMA TRIGGERS

>>>>>>>>>>>>>>>>

ENVIRONMENTAL FACTORS.....

Animal dander

Cockroaches

Dust

Exhaust fumes

Molds

Perfumes

Smoke, including cigarette smoke

Sudden weather changes.

PHYSIOLOGICAL FACTORS...

Gastroesophageal reflux disease

Hormonal changes

Sinusitis

Stress

Viral upper respiratory infection.

MEDICATIONS....

Aspirin

Beta-adrenergic blockers

Nonsteroidal anti-inflammatory drugs

FOOD ADDITIVES

Sulfites

Beer, wine, dried fruit, shrimp, processed potatoes etc..

>>>>>>^^^^>>>>>>>

3 Asthma causes recurrent episodes of wheezing, breathlessness, chest tightness, and coughing associated with airflow obstruction that may resolve spontaneously, it is often reversible with treatment.

4.Status asthmatics is a severe life-threatening asthma episode that is refractory to treatment and may result in pneumothorax, acute corpulmonale, or respiratory arrest.

B. Assessment

Restlessness

Wheezing or crackles

Absent or diminished lung sounds

Hyperresonance

Use of accessory muscles for breathing

Tachypnea with hyperventilation

Diaphoresis

Cynosis

Decreased oxygen saturation

Pulmonary function test results that demonstrate decreased air flow rates.

C. INTERVENTIONS.

Monitor vital signs

Monitor pulse oximetry

Monitor peak flow

Medication for asthma is bronchodilator, steroids and anti-inflammatory

D. CLIENT EDUCATION.

> Instruct the client on the intermittent nature of symptoms and need for long-term management.

> Instruct the client to identify possible triggers and measures to prevent episodes.

> instruct the client on the management of medication and proper administration.

> instruct the client on the correct use of a peak flow meter.

> help the client develop an asthma action plan with the primary provider and teach the client what to do if an asthma episode occurs.