Can your provide a response to this discussion? 150 word Nursing Assignment Help

Can your provide a response to this discussion? 150 word minimum w/ academic references. 

Question 1: According to the case study information, how would you classify the severity of D.R.’s asthma attack? 

The categorization of the intensity of asthmatic episodes, utilizing clinical characteristics and easily measurable factors like peak flow rates, is widely regarded as a valuable approach to the management of bronchial asthma (Cloutier, et al., 2020). According to the Global Initiative for Asthma, (GINA) Global Strategy for Asthma Management and Prevention, 2019, and the National Asthma Education and Prevention Program (NAEPP) guidelines, our patient D.R. is experiencing an asthma exacerbation that can be classified as moderate persistent asthma. As per Merck & Co.’s MDS manual asthma classification table, 2023, the specific criteria used to guide the determination of D.R.’s severity are as follows: Symptoms and Risks all ages, Nighttime Awakenings  Adults and children ≥ 5 years: > 1 time/week but not nightly, SABA rescue inhaler use for symptoms daily, Interference with normal activitysome limitation, Forced Expiratory Volume (FEV1) Adults and children ≥ 5 years: 60–80%, Risk of asthma exacerbations requiring oral corticosteroid bursts more frequent and intense events indicate greater severity (Merck & Co, 2023). 

Question 2: Name the most common triggers for asthma in any given patient and specify in your answer which ones you consider applied to D.R. in the case study. 

The most common triggers for asthma, according to the National Heart, Lung, and Blood Institute (NHLBI) 2020, the most common asthma triggers in any given patient are substances that induce or exacerbate asthma symptoms. A few of these triggers are outdoor allergens caused by pollens and mold; indoor allergens caused by dust mites, pet dander, and mold; respiratory infections such as rhinitis, influenza (flu), or COVID-19 as well as bacterial respiratory infections; irritants such as inhalation of tobacco smoke, commonly referred to as secondhand smoke, poor quality atmospheric air and potent odors like the ones in perfumes, or chemicals from paint, and cleaning products are all potential triggers. Physical activity can also illicit exercise-induced bronchoconstriction (EIB), a condition that affects certain individuals although with treatment most people should be able to remain active; emotions and stress, including rage, sobbing, and laughter; weather such as inhalation of cold air or poor air quality may also trigger asthma; certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), beta-blockers, and aspirin have the potential to induce asthma symptoms in individuals who are susceptible to the condition. Gastroesophageal Reflux Disease (GERD) has the capacity to worsen asthma symptoms in individuals due to the occurrence of acid reflux as does allergic reactions particularly those elicited by food allergies or insect stings in individuals with heightened susceptibility (NIH/National Heart, Blood, & Lung, 2023).  

Several triggers could apply to D.R.’s current condition as asthma is complex and there are a multitude of factors that could be considered. Acute disease worsening in the form of asthma attacks or exacerbations can occur at any time without warning and can be fatal (Lommatzsch, Buhl, & Korn, 2020). Due to the acute onset of D.R.’s symptoms such as stuffy nose, watery eyes, and postnasal drainage, an allergic reaction fits this criterion best. This could be due to outdoor or indoor allergens or a viral respiratory infection. He may also be experiencing symptoms from exercise-induced asthma. He may also be experiencing a reaction to an environmental irritant that could have been induced by smoke, a strong odor at his workplace, etc. Another possibility is that he may not have been very compliant with his treatment, and this led to poor control and ineffective treatment. He may also be experiencing something stressful in his personal life that could aggravate his symptoms due to his emotional nature.  

Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient. 

D.R.’s symptoms began four days ago; he has observed a persistent decline in his peak flow rates since it began. D.R. has also noted a decreased response to his albuterol inhaler therapy. To better understand his condition, it is imperative to consider the following factors as part of his etiology.  

Asthma frequently has a genetic component, and people who have a family history of asthma or other allergic conditions are more likely to develop the disease (Thomsen, 2015). In D.R.’s case, researching his family history could reveal crucial information about whether genetic factors contribute to his asthmatic condition. D.R. has symptoms of an allergic reaction, such as a stuffy nose, watery eyes, and postnasal drainage. Allergens such as pollen, dust mites, pet dander, or mold can cause these symptoms, especially in people who are allergic to them. An allergist could help D.R. figure out what the allergen inducing his symptoms is by conducting a simple test that tests for specificity. D.R. mentions that his usual albuterol inhaler is no longer providing adequate relief, indicating a reduced sensitivity to short-acting bronchodilators (Kuruvilla, Lee, & Lee, 2019).  

Share This Post


Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Technology for Patient Safety in Saudi Arabia Paper Nursing Assignment Help

You are the manager of a busy hospital unit.  Your unit has been tasked with selecting and implementing upgraded technology on your hospital unit.  As the unit manger, address the following in your selection of technology and implementation plan: Examine the features of the new technology that are important in

WU Detail and Dynamic Complexity Discussion Nursing Assignment Help

Are you overwhelmed by complexity? If so, you are not alone. Peter Senge notes that people are now able to “create far more information that anyone can absorb,” and he continues to say that the “scale of complexity is without precedent” (2006, p. 69). This “detail” complexity can make managing

Pediatric Health & Medical Worksheet Nursing Assignment Help

Provider: i. Questions for HPI When did these symptoms begin? Is the child experience exercise intolerance? Any shortness of breath/signs of respiratory distress? History of genetic conditions? ii. Questions for ROS Poor feeding? Any newborn cardiac concerns? Previous cardiac history? Any pain, weakness, coldness to the extremities? Fluid retention? Cough

Health & Medical Capital Budgeting at Cleveland Clinic Nursing Assignment Help

Respond to each of the following prompts or questions: Using the information provided in the Los Reyes Hospital case study from Module Three, what capital expenditures may the selected departments need to budget? Considering the organization you selected, what is a capital expenditure that may be needed that would result

NVCC Service Implementation and Elements of Financial Nursing Assignment Help

Instructions: Part 1 1.Read Chapter 10, Capko. -Critique either Dr. Grainger’s or Mid-South Pulmomary Specialists efforts in developing  new services. -What lessons did you learn as related to new service development?   -List three main items which you must address before implementing a new service.  Instructions: Part 2 -The physicians

Healthcare is reimbursed in a variety of ways. The Nursing Assignment Help

Healthcare is reimbursed in a variety of ways. The prospective payment method is one of those ways. This paper will be about the prospective payment method where diagnosis-related groupings (DRGs) forms the basis for payment. Research and explain the origin, purpose, and description of DRGs. Include what payment is based on.

NUR 630 FIU Impact on Healthcare Systems and Public Health Nursing Assignment Help

Autism Spectrum Disorder, Intellectual Disabilities, or Childhood-Onset Schizophrenia In recent years, there have been reports linking autism to vaccinations. After studying Module 5: Lecture Materials & Resources, address the following in a well-written discussion post: Explain the controversy regarding vaccines as a possible cause of autism spectrum disorder. Does the

FIU Ambiguity and Doubts About Managing ASD Reflection Nursing Assignment Help

Autism Spectrum Disorder, Intellectual Disabilities, and Childhood-Onset Schizophrenia After studying Module 5: Lecture Materials & Resources, discuss the following: Reflect on your experience creating a treatment plan for a toddler, school-aged child, or adolescent with autism or an intellectual disability.  Describe the clinical situation in detail.  (Who was it, when