Asthma Case Study for Primary Care Patients- MyAssignmenthelp.com

Question: Discuss about theAsthma Case Studyfor Primary Care Patients. Answer: The case study consists of a 12 year old boy who is suffering from acute exacerbation of asthma. This disorder usually causes the muscle of the respiratory tract to contract and as a result the bronchioles become narrow. These result in the swelling of the airways in the case of the patients making him suffer from asthma. The case reports change in weather in the environment of the patients residence were a thunderstorm had hit the land. Often such weather changes fuels the occurring of the disorder. Thunderstorm also increases the chance of asthma in the patient by making him vulnerable to dust mites (Reddel, 2015). The case also reports that the boy had participated in soccer with his friends on Saturday. During this time, the patient experienced tightness and also coughed. This can be stated here that the exercise that he had during the game may have triggered the occurrence of asthma. Researchers have stated that there is a specific type of asthma called the exercise induced asthma. This takes place as a result of aerobic workout (Dekhuien et al., 2014). Hence, the occurrences of the symptom in the patients may be also due to this factor. The case study also reports that the patient had developed infection in the upper respiratory tract. The infection must have been due to the attack of micro-organisms like bacteria as well as the virus. Researchers have often stated that cold, flu and similar other infections often trigger the occurrence of asthma. As the patient had suffered from such an infection, therefore one can take it as a contributing factor. Researchers have noted that there are four different types of asthma that are reported. This involves the mild persistent asthma, intermittent asthma, moderate persistent asthma as well as severe persistent asthma (Loymans et al., 2014). The case study had reported that when the patient was initially admitted for treatment, spirometry test showed that he had a FEV of 1.64 L which had accounted for about 55% of the normal value that is predicted to be present. After interventions, the FEV value had become 2.22 L after increase and this had accounted for about 74% of the normal predicted value. Moreover his breathing rate before the intervention was 26 beats per minute which after intervention had become 21 beats per minute. From the entire analysis above, it can be understood out of the four categories of asthma, the patient is suffering from moderate persistent asthma. The rationale behind quoting this statement is that after intervention, her FEV increased from 1.67L and became stabilized at 2.22 L. this shows about 74% of the normal predicted value. The moderate persistent asthma patients have this value between 60% and 80% of the predicted value. Therefore, the patient of the case study can be stated to fall under this category. Moreover, patients of this category need to have medications every day (Matsuse Kohno, 2014). Geronimo missed some of these medications and therefore might have faced the consequences. This again shows that he is falls into the mentioned category. This asthma already affects any regular activities and this is also true for the patient. Hence the rationale supports the claim that he is a patient of moderate persistent asthma. Spirometry is a special kind of diagnostic test that is mainly performed when a healthcare professional wants to learn about the lung disorders that are present in the patient. These tests mainly help to gather information about the patterns of breathing in a patient by assessing the volume as well as the flow of air take or released by the patient during inhalation as well as in exhalation (Buccheiri et al., 2015). This test mainly helps in showing two important components. The first component is the Forced vital capacity referred to as the FCV. This case study does not show any information about the FV of the patient. However, the second component called the Forced Expiratory volume is the second component that helps to determine the total volume of air that n individual will be able to exhale out in one second after a full inspiration period. Previously before the intervention, it was found that the FEV of the patient was only 55% of the normal predicted value and after stabilization it showed that the value had become 74%. This helped to understand that the patient had recovered from the crucial phase. Arterial Blood Gas test mainly helps the doctors to understand how well the lungs of the patient is working in removing carbon dioxide from the blood and taking in oxygen. It also helps the doctor in understanding whether any acidity is present in blood or not. A doctor can instruct to conduct such test to patients with asthma or COPD to evaluate whether they need extra oxygen to enter into the lungs for better activity and to breathe efficiently (Vaahersalo et al., 2014). It also help the professional to understand whether the right amount of blood is entering the lungs or not. The medications that are provided to patients often depend upon the seriousness of the asthmatic affects. They are also given in accordance to the symptoms, age as well as the side effects. In order to control the different symptoms of asthma and to prevent any kinds of harmful effects due to asthma attacks, healthcare professional suggest the use of medications like long acting Beta agonists (LABAS), inhaled corticosteroids, theophylline as well as leukotriene modifiers (Castro et al., 2014). In case of asthma that had resulted from allergen, healthcare professional provide medications called allergy shots called immunotherapy as well as omalizumab (Xolair) and others. These medications help by reducing the bodys sensitivity to different types of allergens. In order to provide quick reliefs to people suffering from asthma attacks, doctor provide them with oral corticosoids which mainly acts as a rescue medication. For providing short term relief and to prevent asthma, short acting b eta agonist like ipratropium as well as albuterol can also be included. Bronchodilators are mainly provided where they act by relaxing the muscles of the tract that gets tightened around the airways. In this way, it helps in opening up the tract. Steroids and anti- inflammatory drugs can act by reducing the swelling of the airways and also acting upon the mucous production in the tract. People can also use asthma nebulizers if they face problems in using asthma inhalers (Loerbroks et al., 2016). However it should be kept in mind that they should be used only for short course of time. Using them for a long course of time may lead to the occurrences of side effects that may be detrimental for the patients. References: Bucchieri, S., Cuttitta, G., Cibella, F., Alfano, P., Audino, P., Melis, M. R., Viegi, G. (2015). Airway Obstruction In Primary Care Patients: Need For Implementing Spirometry Use. InC46. HOW DO YOU DO IT? COPD DIAGNOSIS AND ASSESSMENT(pp. A4467-A4467). American Thoracic Society. Castro, M., King, T. S., Kunselman, S. J., Cabana, M. D., Denlinger, L., Holguin, F., ... Avila, P. (2014). Effect of vitamin D3 on asthma treatment failures in adults with symptomatic asthma and lower vitamin D levels: the VIDA randomized clinical trial.Jama,311(20), 2083-2091. Dekhuijzen, P. R., Bjermer, L., Lavorini, F., Ninane, V., Molimard, M., Haughney, J. (2014). 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