Homework Answers
Case Study#2:
a. The children had symptoms of shortness of breath, coughing, and chest tightness which explored the possible diagnosis of asthma. Childhood asthma is common when the child is exposed to certain allergens or getting frequent cold. It always troubles the child with the activities and symptoms get worse at night. It is more common in preschool and young children. It is diagnosed by medical exam and treated with asthmatic medication.
b. Asthmatic medication such as bronchodilator is usually recommended for children. Bronchodilators(salbutamol 5mg or 12 puffs) are given in the form of nebulizers. The medication is getting entered through the nose by breathing via face mask for about 10 to 15 minutes. It can also be given as Metered Dose Inhaler with a spacer. Prednisolone also recommended orally.
c. The response of medication is evaluated based on the inflammation level, reduced symptoms, no night time waking, no limitation in daily activities, the need for reducing the dose of medication indicates the child responded well to the medication.
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Case Study #2 A 9-year-old boy presents with a complaint of chest tightness, cough, and shortness...
of COPD is admitted to the emergency department with A 66-year-old male with a history of...
of COPD is admitted to the emergency department with A 66-year-old male with a history of COPD is admitted to the emers shortness of breath. He is not currently taking any medication for his breathing. Th states that he usually gets short of breath only upon exertion, but he developed several days ago that made his breathing worse. He has been placed on Oxygen The n placed on oxygen. The doctor wants him to have breathing treatments. a) What medication,...
7. A COPD patient takes albuterol by MDI and ipratropium by MDI four times per day...
7. A COPD patient takes albuterol by MDI and ipratropium by MDI four times per day His physician would like to change him to long-acting medications. Which of the following would you recommend? L DuoNeb B.Serevent II. Combivent IV. Spiriva a. I only b. Il and IV c ll only d. IV only
Case Study #3 A patient with COPD is currently taking albuterol by MDI four times a...
Case Study #3 A patient with COPD is currently taking albuterol by MDI four times a day. The patient states that her inhaler does not seem to work as well as it used to. She still gets short of breath and it is sometimes hard to wait for the next dose. She is not taking any other medications at this time. Which of the following would you recommend? a. Continue albuterol as ordered b. Give albuterol by nebulizer c. Discontinue...
Questions 9-14 Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, i...
Questions 9-14
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to be clomethosone (Vanceri) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You...
Asthma Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town...
Asthma
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is Nighly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this moming when his wheezing worsened and did not respond to be clomethosone (Vanceri) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You start...
Case Study Assignment A 56 year old male presents to the emergency department with shortness of...
Case Study Assignment A 56 year old male presents to the emergency department with shortness of breath. He states he feels most comfortable breathing while he is leaning forward. The patient has a history of COPD and is oxygen dependent at home. Upon assessment you notice the patient is little drowsy, but awakens easily when aroused. His ABG results are as follows: pH=7.39, PaCO2-52, PaO250, HCO3=28, SaO2=85% with patient currently on 21pm NC. 1. Interpret ABG and evaluate patient's oxygen...
Case Study Assignment A 56 year old male presents to the emergency department with shortness of...
Case Study Assignment A 56 year old male presents to the emergency department with shortness of breath. He states he feels most comfortable breathing while he is leaning forward. The patient has a history of COPD and is oxygen dependent at home. Upon assessment you notice the patient is little drowsy, but awakens easily when aroused. His ABG results are as follows: pH=7.39, PaCO2=52, PaO2=50, HCO3-28, SaO2=85% with patient currently on 21pm NC. 3. What treatment or monitoring recommendations should...
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is hi...
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to belclomethosone (Vanceril) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You start Mr. Norse...
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly alle...
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role len. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to belclomethosone (Vanceril) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, "I have had asthma since childhood, and my mother and brother also have asthma." Her respiratory rate was 30 breaths per minute, and she...
of COPD is admitted to the emergency department with A 66-year-old male with a history of COPD is admitted to the emers shortness of breath. He is not currently taking any medication for his breathing. Th states that he usually gets short of breath only upon exertion, but he developed several days ago that made his breathing worse. He has been placed on Oxygen The n placed on oxygen. The doctor wants him to have breathing treatments. a) What medication,...
7. A COPD patient takes albuterol by MDI and ipratropium by MDI four times per day His physician would like to change him to long-acting medications. Which of the following would you recommend? L DuoNeb B.Serevent II. Combivent IV. Spiriva a. I only b. Il and IV c ll only d. IV only
Case Study #3 A patient with COPD is currently taking albuterol by MDI four times a day. The patient states that her inhaler does not seem to work as well as it used to. She still gets short of breath and it is sometimes hard to wait for the next dose. She is not taking any other medications at this time. Which of the following would you recommend? a. Continue albuterol as ordered b. Give albuterol by nebulizer c. Discontinue...
Questions 9-14
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to be clomethosone (Vanceri) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You...
Asthma
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is Nighly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this moming when his wheezing worsened and did not respond to be clomethosone (Vanceri) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You start...
Case Study Assignment A 56 year old male presents to the emergency department with shortness of breath. He states he feels most comfortable breathing while he is leaning forward. The patient has a history of COPD and is oxygen dependent at home. Upon assessment you notice the patient is little drowsy, but awakens easily when aroused. His ABG results are as follows: pH=7.39, PaCO2-52, PaO250, HCO3=28, SaO2=85% with patient currently on 21pm NC. 1. Interpret ABG and evaluate patient's oxygen...
Case Study Assignment A 56 year old male presents to the emergency department with shortness of breath. He states he feels most comfortable breathing while he is leaning forward. The patient has a history of COPD and is oxygen dependent at home. Upon assessment you notice the patient is little drowsy, but awakens easily when aroused. His ABG results are as follows: pH=7.39, PaCO2=52, PaO2=50, HCO3-28, SaO2=85% with patient currently on 21pm NC. 3. What treatment or monitoring recommendations should...
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to belclomethosone (Vanceril) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You start Mr. Norse...
Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role len. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to belclomethosone (Vanceril) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, "I have had asthma since childhood, and my mother and brother also have asthma." Her respiratory rate was 30 breaths per minute, and she...
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