Discussion: Asthma Exacerbation
NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Discussion: Asthma Exacerbation
degrees F orally, with loose cough – that could be initial signs of acute upper respiratory infection [URI] (Beta healthy, 2019). One of the comorbid conditions or risk factors of asthma exacerbation among children is upper respiratory infection (Hollier, A., 2018). A study looking at the role of viral respiratory infections in asthma and asthma exacerbations reports that with existing asthma, viral respiratory tract infections can have a profound effect on the expression of disease (Busse, W., Lemanske, R., Gern, J., 2010). The authors go further and states that viral respiratory tract infections, most frequently with rhinovirus, are the predominant microorganisms associated with asthma exacerbations. Jonathan seems to have an asthma exacerbation induced by a URI. The appropriate pharmacological therapy for Jonathan will be a short acting bronchodilator such as albuterol, that stimulates beta 2 receptors in the lungs.
(Hollier, A.). Jonathan will be prescribed albuterol 90mcg, 2 puffs q 4-6 hours that he will be using as rescue inhaler. Jonathan’s asthma is identified as mild intermittent asthma. According to Hollier, A. with mild intermittent asthma, a short acting bronchodilator is the treatment of choice for exacerbations (p.664). Furthermore, according to Tibble, H., Tsanas, A., Horne, E., Horne, R., Mizani, M., Simpson, C. Sheikh, A. (2019), asthma therapy typically follows a fairly linear path, beginning with a short-acting bronchodilator in the individuals without persistent asthma symptoms and adding preventative treatments and long-acting bronchodilators in the individuals with more persistent asthma symptoms.
What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
Jonathan and his mother will be provided information about how to identify and minimize known asthma triggers by avoiding allergens and irritants. Respiratory irritants can be tobacco smoke, wood smoke, perfumes, pollution dust, etc. (Hollier, A., 2018). Jonathan will be instructed to take his medications as prescribed, learn early signs and symptoms of exacerbation such as severe shortness of breath, chest tightness or pain, and coughing or wheezing, low peak expiratory flow (PEF) readings, if a peak flow meter is used and also symptoms that fail to respond to use of a quick-acting inhaler.
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