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asthma case study for nursing students

1 grudnia 2020 By Brak komentarzy

1.) For her hypertension, she was on 40mg Telmisartan tablets once at night. Nursing Student Crown College St. Bonifacius, MN Linda Merritt, PhD, RNC-NIC, CNE Assistant Professor Texas Woman’s University In the medical discipline, it could also … 12th Feb 2020 the study was not random due to lack of resources. Lastly, as she has low red blood count, haemoglobin and haematocrit levels, it is suspected that she has anaemia. These inflammatory symptoms are commonly associated with extensive but variable airflow obstruction within the lung as well as airway hyperresponsiveness and this is reversible either on its own or with treatment. Since the patient is prescribed with theophylline on discharge, she should be counseled on the signs and symptoms of theophylline toxicity such as confusion, dizziness, diarrhoea, nausea, fatigue and headache. She was immediately commenced on 2g Ceftazidime intravenously, and then continued on 1g three times a day. She was also having persistent productive cough with white sputum since she was last discharged 12 days ago. Erythrocyte Sedimentation Rate (ESR) (0 – 15 mm/hr). Student knowledge, attitudes, and skills are assessed using the rubric at the end of the assignment and during class discussion. On Day 2 of her stay, her blood results came back and as she has low potassium levels, she was given 15mls of Mist KCl three times daily and two Slow K tablets once daily. Start a trial to view the entire video. Anti-cholinergic agents work by inhibit muscarinic receptors M1 and M3 which then reduces cGMP formation and decreases smooth muscle contractility in the lungs. Study for free with our range of nursing lectures! Publishing a nursing case study can be tough. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. The conclusion will summarise the main points, reflect on what I have learned from this module and consider ongoing learning requirements in relation to asthma management. If the patient's asthma is not well controlled with an … A nursing case study is a detailed study of an individual patient, which allows you to gain more information about the symptoms and the medical history of a patient and provide the proper diagnoses of the patient’s illness based on the symptoms he or she experienced and other affecting factors. Show more. The purpose of the case study is to share the experience of one community as they attempt to address the problem of asthma. Therefore my first few days in practice were spent adjusting to this new and very different area of nursing. Acute Exacerbation of Bronchial Asthma: An Overview, Asthma is a chronic inflammatory disorder of the airways where many cells and cellular elements play a role. Unfortunately, the disease can not be cured yet but it is possible to reduce its negative effect to the minimum. Hence, all patients with hypoxia who are suffering from acute severe asthma should be given oxygen and their SpO2 levels should be kept at 94-98%. 5. The aim of management of asthma is to keep it well-controlled without the need of rescue medications, asymptomatic, no exacerbations, no hindrance to daily activities including exercise as well as normal lung function. Save your name to the document to receive credit and for easier verification. opening containers, large labels). Hospital Inpatient Care Nursing Case Study It has been shown that most patients suffering from acute severe asthma are hypoxaemic. After reviewing the management of the patient’s condition throughout hospital stay, it can be concluded that SK was treated adequately based on the current guidelines and evidences attainable. She was also given Neulin SR 250mg once at night. Inhaled steroids are recommended as preventer drug therapy for adults as they are most clinically effective in controlling asthma based on the treatment goals outlined.36-39 The frequency of dosing of inhaled steroids are generally twice daily and it is shown that there is slight clinical benefit obtained when taken twice a day than once daily, however a once daily dosing may suffice for those with milder asthma. Get a verified writer to help you with Case Study : Asthma. Children usually outgrow asthma in the mid-teen years. Upon admission, the patient was afebrile, was tolerating orally well, did not have any sorethroat but was having a non productive cough. Ipratropium bromide is one of the anti-cholinergic agents that is used widely in treatment of acute exacerbations of asthma. Instructor Summary Card . You can view samples of our professional work here. He has fallen asleep while smoking a cigarette and the bed linen caught on fire. Upon admission, standard laboratory investigations were carried out and were obtained. Company Registration No: 4964706. β2 agonist bronchodilators work by stimulating the β2 adrenoceptors in the lungs, thus causing relaxation of the airways. Throughout this essay I have endeavoured to demonstrate my understanding of asthma especially in relation to the pharmacological management and issues of education and concordance. Case Study of Pathophysiology of Asthma Question. Some of the advice given in eczema management, for example allergen avoidance, will also be relevant in asthma management (Rees and Kanabar 2000). 10MONDAY2020 can only be used on orders that are under 14 days delivery. Asthma has three distinguishing characteristics which are airflow limitation, airway hyperresponsiveness, and bronchial inflammation. The patient is a widow since 6 years ago and is a housewife with 3 children. He suffers from full thickness burns on the upper half of his chest, back and at the back or posterior aspects of both upper arms. To qualify for the discount, you must have paid at least 50% of your order cost by 23:59 on Wednesday 3rd of December 2020 (UTC/GMT). Remember that asthma is an inflammatory disease so a steroid is critical for good, effective management of an asthma patient. Size: 74 KB. She was still complaining of cough without sputum and was given 15mls of Benadryl (diphenhydramine) syrup three times a day. As acute asthma is associated with symptoms of bronchospasms such as wheezing and tachypnoea, the main aim of treatment is to quickly resolve these symptoms and most often, high doses of inhaled β2 agonist bronchodilators are effective with minimum adverse effects.12-14 Salbutamol is usually the drug of choice although there is no significant differences in terms of efficacy as compared to Terbutaline. Asthma Case Study $ 20.00 – $ 35.00 Prepare your students for licensure and real-world practice with this salient scenario that contextualizes nursing care and priority setting with a pediatric patient with an asthmatic exacerbation. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! Gastroesophageal Reflux Disease. Hyland (1998) states that the Advanced Nurse Practitioner has become a major provider of asthma care in the UK. Case Study: Asthma A 6 year old male has coughing with audible expiratory wheezes and dyspnea. Nevertheless non-compliance is thought to contribute to between 18% and 48% of asthma deaths (Asthma UK 2003). Patients with asthma may experience symptom-free periods alternating with acute exacerbations that last from mi… The aims of the pharmacological management of asthma are to control symptoms, prevent exacerbations and achieve the best possible lung function while minimising side-effects and long-term sequelae (Scullion 2005). Widely documented in the literature however, is the National Heart, Lung and Blood Institute (1992) definition who describe it as, ‘a chronic inflammatory disorder of the airways causing widespread but variable airflow obstruction…Obstruction is often reversible, either spontaneously or with treatment.’ The severity of the condition varies significantly (Rees and Kanabar 2000) from mild intermittent asthma, to a distressing disabling condition which results in time off work or school, disturbed sleep, restriction of social and leisure activities and anxiety (Hyland 1998). Monitoring should be carried out constantly throughout hospital stay and in acute asthma cases, monitoring of PEF is crucial. In the case presented, the patient was commenced on steroid therapy but was under-treated as she was only given prednisolone 30mg once daily for just one day. Title: COPD, Case Study #1 Author: test Keywords: COPD, Chronic Obstructive Pulmonary Disease, case study, patient care Last modified by: This case study was prepared for CDC by Dr. LaMar Palmer of MAS Consultants. The following case studies focus on an interaction with a specific population. Further tests should be done to confirm this, and if it is diagnosed, she should be given ferrous supplements such as ferrous sulphate tablets 200mg twice daily. share. Learn more about this type of research by reading the article. Asthma affects an estimated 7.1 million children in the US under 18 years of age, making it one of the most common chronic childhood disorders (American Lung Association, 2014). If Joshua adheres to controller medication use, the likelihood of outgrowing asthma by age 12 is good. Do you have a 2:1 degree or higher in nursing or healthcare? ETIOLOGY Atopic asthma is triggered by environmental stimuli such as allergens (e.g. 15MONDAY2020 can only be used on orders with a 14 day or longer delivery. In hospital therapy, anticholinergic treatments are given to severe exacerbations of asthma and nebulised ipratropium bromide is always the drug of choice used in clinical settings. To export a reference to this article please select a referencing stye below: If you are the original writer of this case study and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! It is difficult for the health professional to achieve concordance with the patient without providing education about their disease and its management (Levy and Pearce 2004). This is not an example of the work produced by our Case Study Service.You can view samples of our professional work here.. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. Patient Profile C.S. The global prevalence of asthma varies from 1-18% of populations in countries all over the world. Company Registration No: 4964706. We're here to answer any questions you have about our services. Ensuring patients are well informed about how their medication works has been shown to improve adherence and control (Boulet 1998). Alternative choices would be levofloxacin 500mg once daily or moxifloxacin 400mg once a day, should the patient be intolerant of the preferred regimen. There is no reason to justify the use of theophylline in this case as the patient is responsive and can be controlled on inhaled steroids. The diagnosis of asthma is based on a collection of signs and symptoms without a reasonable explanation for them and spirometry is an early test which is easy to assess if there is any airflow obstruction present and its extent. Download file to see previous pages An asthma exacerbation can be caused by allergens (Sequeria & Steward, 2007). Asthma: A descriptive case study. 2. Antibiotics were kept in view to be started if necessary after the total white blood count results came back. The nurse must assess the triggers specific to this patient and provide teaching to reduce the patient’s risk of another exacerbation. The aim of this study was to evaluate the effect of smoking on lung function decline in adult-onset asthma in a clinical, 12-year follow-up study. Learning outcomes Level 1 case study: You will be able to: describe the risk factors describe the disease describe the pharmacology of the drug outline the formulations available, including drug molecule, excipients, etc. The promotion is valid for either 10% or 15% off any service. Free resources to assist you with your nursing studies! The material presented here is a thorough revision of that teaching strategy. She was commenced on prednisolone tablets, 30mg once a day and was given nebulised Combivent (Ipratropium 20mcg/salbutamol 100mcg), every 4 hours. College. This essay is written as a case study referring to a patient from my practice area. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Promotion runs from 00:01am to 11:59pm (GMT/UTC) on the 30th November 2020. As first line therapy, high dose inhaled β2 agonist bronchodilators are used as soon as possible as rapid relievers of bronchospasm. Severe persistent. Rolfe, Freshwater and Jasper (2001) suggest that choosing an event or incident to reflect upon or analyse is concerned with anything that happens to us that we want to write about for some reason. Instructor Summary Card . It is seen that after hospital discharge, a relative amount of patients either experience relapse or are readmitted into the hospital with at least 15% within two weeks following discharge.29 Therefore it is essential that patient education such as proper inhaler technique, and well-documented PEF recordings with action plans depending on symptoms experienced should be instilled in order to reduce rate of relapses as well as minimize problems associated with exacerbations after discharge.30.

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