Relevance of the Practice of Respiratory Therapy:
I have long been aware of the illness called asthma. It’s usually the children who contacted asthma and therefore it’s called pediatric asthma. I have seen a few patients suffering from asthma attack. It’s only pathetic if the patient doesn’t have any surrounding him that can give him first aid or provide him with the necessary procedures that will give him a sigh of relief. I feel delighted on the contrary if I see anyone who’s acting in a capacity of a respiratory therapist that is able to help the patient rescue from farther danger. Having been informed that pediatric asthma is still one of the main causes of emergency in hospitals, I would say that the practice of respiratory therapy is very relevant.
Diagnosis in Children:
Usually the physician will ask pertinent questions regarding medical history and symptoms which include breathing problems, history of family illnesses such as asthma, allergies, skin condition like eczema, or other lung disease. Right after, the physician will check on the child’s heart condition and lungs. The physician also will conduct an examination or test either chest X-ray or pulmonary function tests, which will help him, determine the degree of asthma by way of knowing the amount of air in the lungs and how fast it can be breathed out. By the way because children under 5 years old are not capable of doing PFT, for purposes of diagnosis, the physician relies on history, symptoms and examination for diagnosis.
Clinical manifestations of Asthma:
Pediatric asthma can be observed in terms of wheezing, which is caused by the air flow into the lungs; coughing which is kind of a dry cough; chest tightness which painful because the chest can’t ex...
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...e to save them from father danger. Having said this, hospitalization might be avoided and missing classes lessen. But however technically this kind of education will really help the patient improve lung function and make him breathe normally again. This basic education includes “prescribed medications, the proper use of inhalation devices, and the importance of compliance and monitoring.”
Works Cited
1. Laurie Barclay, MD
2. Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
3. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007." J Allergy Clin Immunol 120.5 Nov. 2007:S94-138.
Sharma, G.D., and Payel Gupta. "Pediatric Asthma." eMedicine.com. Sept. 9, 2009.
Saunders has a history of asthma and in conjunction with a respiratory assessment an asthma assessment will be required. A brief patient history is needed to evaluate, looking for a history of rapid onset, exaggerated use of β-agonists and mechanical ventilation for asthma. Symptoms sound is taken into account, in the case of Mr. Saunders he is experiencing shortness of breath, speaking in short sentences, presenting wheezing, flushed appearance as well as dyspnoea. Additionally, the severity of the symptoms should be taken into account, how often they occur and whether they cause exercise limitations or nocturnal wakening (Kaufman, 2012). It is also important to establish any medications whether it be prescribed, over the counter, or herbal remedies that the patient may be taking as some medications have been known to exacerbate asthma (Kaufman, 2012). In addition to exploring clinical history, it is also important to obtain objective data to support the diagnosis (Kaufman, 2012). Physical examinations are a part of an asthma assessment and are very essential to help backup the diagnosis. Respiratory rate, heart rate and pulse paradoxus are all sections of the physical examination. In conjunction with these a spirometry is also required. A spirometry is best pathway of identifying airflow obstruction which will make a definitive diagnosis of asthma (Kaufman, 2012). This assessment required the patient to use maximum force to expel the air from their lungs, as fast and hard as possible. This process is measure over 1 second and conducted 3 times, thus the highest recording of the three is taken (Kaufman, 2012). A result lower than 70% strongly indicates airway obstruction; hence lower the ratio, the more severity of the obstruction (Kaufman,
Imagine a young child competing with his or her fellow classmates during recess and immediately losing the ability to breathe normally. He or she stops in the middle of the competition and falls to the ground while holding his or her chest trying to find air. When you are young, being able to keep up with your peers during recess and sporting events is very important, however, having asthma restricts this. Asthma has a significant impact on childhood development and the diagnosis of asthma for children 18 years and younger has dramatically increased over the years. Asthma is known as a “chronic inflammation of the small and large airways” with “evident bronchial hyper-responsiveness, airflow obstruction, and in some patients, sub-basement fibrosis and over-secretion of mucus” (Toole, 2013). The constant recreation of the lung walls can even occur in young children and “lead to permanent lung damages and reduced lung function” (Toole, 2013). While one of the factors is genetics, many of the following can be prevented or managed. Obesity, exposure to secondhand smoke, and hospitalization with pneumonia in the early years of life have all been suggested to increase children’s risk of developing asthma.
Asthma is a condition of the bronchial tubes characterized by episodes of constriction and increased mucous production. A person with asthma has bronchial tubes that are super sensitive to various stimuli, or triggers, that can produce asthma symptom.In other words, asthmatics have special sensitivity that causes their lung tissue to react far more than is should to various stimulating factors or triggers. For this reason, people with asthma are said to have "twitchy airways."Some symptoms that people with asthma commonly experience are chest tightenings, difficulty inhaling and exhaling, wheezing, production of large amounts of mucous in their windpipes and coughing.Coughing can be frequent or intermittent, and can be loose-reflecting extra mucous secretion in the airways or dry and deep-reflecting tight bronchospasms. Not all these symptoms occur in every case of asthma.Sometimes people may have coughing without and symptoms for months or even years before it's realized that they are asthmatic. Interestingly enough, asthma symptoms are most severe at night, while we're lying down our airways narrow as a result of gravity changes. Also our lungs do not clear secretions as well at night, which leads to mucous retention, and that can increase the obstruction to air flow.
Asthma is chronic inflammatory disorder of the airways characterized by recurring episodes of wheeling and breathlessness. It often exists with allergies and can be worsened through exposure to allergens. In fact, asthma is complicated syndromes that have neither single definition nor complete explanation to the point. In light of its treatment, it is worthwhile to notice that asthma cannot be cured, instead can be only managed by avoiding exposure to allergens and/or by using medications regularly.
Goals of treatment include interventions to help maintain good lung function (U. S. Department of Health and Human Services, 2014). Asthma is treated with long-term control and quick relief medications (U. S. Department of Health and human Services, 2014). The severity of symptoms will dictate a medical treatment plan. As advanced practice nurses, we need to help asthma patients identify their triggers. This aspect is individualized based on the recognition of symptoms that lead to exacerbations. A few of common triggers include smoke, weather, pollen, and food. Additionally, we need to provide them with education related to their disease process.
Asthma is a disease that affects the breathing passages of the lungs (bronchioles). People who have asthma always have difficulty breathing. In the United States alone, over twenty-five million Americans are diagnosed with asthma. According to the Centers for Disease Control and Prevention (CDC), asthma is known to be the third most common disease as well as a leading cause to hospitalization in America. In 2008, one in two people were reported to have asthma attacks which is roughly about twelve million asthma attacks a year. In 2007, the United States spent more than fifty-six million dollars on medical costs, lost school and work days, and early deaths from asthma. Asthma is not visible to the human eye, so it is difficult in an emergency situation for the lay responder to tell whether the victim is having trouble breathing or having an asthma attack. Unlike people who are diabetic and have to wear medical ID bracelets, people with asthma are not required to wear them, but it should be recommended to help the lay responder, the doctors and the paramedics identify the situation they are dealing with at hand. For hours, days or even months a person may be normal but then an attack may suddenly happen out of nowhere.
Asthma is a chronic disease that makes it difficult to breathe. The airways to the lungs swell up and become inflamed, which narrows the air passageway to the lungs and the lungs cannot receive the amount of oxygen that it needs. “Mucus builds up inside the airways so you have trouble getting air in and out of your lungs.” (Pope, 2002, p.44). If the lungs do not receive the essential amount of air, it will cause a lot of distress and wheezing to the patient.
This paper throughly explores the care administered to the cases study Zachy a seven year old boy who has presented to the hospital following the an exacerbation of asthma. Discussed throughout is the pharmacological management of Zachy’s asthma including the pharmacodynamics of these prescribed medications and what affect these medications have on the pathophysiology within the respiratory tract.
Asthma is a disorder of the respiratory system in which the passages that enable air to pass into and out of the lungs periodically narrow, causing coughing, wheezing, and shortness of breath. This narrowing is typically temporary and reversible, but in severe attacks, asthma may result in death. Asthma most commonly refers to bronchial asthma, an inflammation of the airways, but the term is also used to refer to cardiac asthma, which develops when fluid builds up in the lungs as a complication of heart failure. This article focuses on bronchial asthma.
Physician diagnosis of asthma for greater than or equal to 3 years and a diagnosis of severe persistent asthma forgreater than or equal to 1 year to screening
Patients are instructed to avoid triggers, whenever possible. Next, providers will determine the severity of the patient’s asthma symptoms, and then medicate accordingly. Medications that are prescribed include: ICS, combination inhalers, LABA along with ICS, Leukotriene modifiers, and oral corticosteroids. Patients are prescribed rescue inhalers (SABAs) for quick relief and instructed to make an appointment if they use them more than 2 times a week. Patients are encouraged to get vaccinated for pneumonia and influenza prevention. An Asthma Action Plan is uniquely created for the patient and is intended to be instructions for them to refer to when asthma symptoms change.
Most of you may not think of asthma as a killer disease, yet more that 5,000 Americans die of asthma each year. According to the Mayo Clinic web page, asthma also accounts for more that 400,000 hospital discharges annually. As the number of people with asthma increases, the more likely you are to come in contact with a person who has the disease. As far as I can remember, I have had asthma my whole life. My mother and one of my sisters also have asthma, so I have a first hand experience with it. This morning, I will discuss some interesting facts about asthma, I will specifically focus on what it is, warning signs, symptoms, causes, and the treatments that are used.
At this time, I would want students to recognize the signs and symptoms of respiratory distress. Some interventions that I would expect them to take are administering oxygen via facemask, contacting the physician, attaching the child to a heart, respiratory, and sat monitor, calming the family by educating them regarding the situation, and delegating tasks to other team members. Depending on the facility that they are educated in, this would warrant calling a rapid response code as
...rease the likelihood of an asthma attack, which is sometimes brought about by stress. Additionally acupuncture has been used to try and minimize the symptoms of asthma patients, but little research has been done in support of this method ("Alternative Therapy for Asthma"). There are not any surgeries that are associated with the treatment of asthma, but there is a new treatment called bronchial thermoplasty, where the smooth muscle that is in the airways of the lungs is treated with a small heated probe (Little). This helps to dilate the airways and decreases the symptoms associated with asthma. This treatment is still in its early stages of research and will need to be tested more in depth before it becomes a common procedure (Little). All of these treatment methods, including traditional and nontraditional, can be used in order to help people control their asthma.
Millions of people suffer from asthma.. Many of them have different things that can trigger an attack. (Thesis)