Respiratory Shadow Health Tina Jones Lifespan
Tina’s second cousin received an asthma diagnosis at the age of 5. In crafting your treatment plan, what elements would you incorporate? Additionally, what considerations might arise concerning adherence to the plan?
Student Response:
Patients below the age of 18 with asthma typically undergo treatment involving xxx.
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Model Note:
Younger individuals with asthma receive comparable medications to adults. Certain dosages may be weight-dependent. Proper medication administration involves using an inhaler with an attached spacer, and assistance from a caregiver is crucial. Studies indicate that nebulizer treatments are less efficient for medication delivery. Recognizing the potential for asthma attacks during school hours, the provider should issue a note allowing the patient to use the inhaler as needed. Educating both the patient and the caregiver on the significance of having the inhaler nearby and its correct usage is imperative.
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Consider Tina’s uncle, now 68 years old, who has been a heavy smoker since the age of fifteen. What manifestations would you anticipate in his respiratory assessment, and how might these impact your goals for oxygenation in his case?
Student Response:
Due to smoking-induced emphysematous alterations in his lungs, he likely experiences xxx.
Model Note:
Expect diminished breath sounds upon auscultation owing to emphysematous changes resulting from chronic smoking. Destruction of alveoli due to prolonged inflammation and irritation reduces the lung’s surface area, limiting gas exchange and lowering oxygen saturation. In managing chronic oxygen deprivation, careful attention is required when administering supplemental oxygen. The goal for someone with severe COPD is to maintain oxygen saturation between 88% and 92%. Administering excessive oxygen poses a risk, as it can diminish the drive to breathe, increasing the risk of adverse outcomes, including fatality.
Respiratory Shadow Health Tina Jones Lifespan
Tina’s second cousin was diagnosed with asthma at age 5. What would be included in your treatment plan? What factors might concern you related to compliance?
Model Note: Younger patients with asthma are treated with the same medication as adults. Some medication dosages are based on weight. She should use an inhaler with a spacer attached for proper medication administration and her caregiver should always assist her. Studies have shown that nebulizer treatments are a less efficient way to administer medication. The provider should acknowledge that she may have an asthma attack while in school, and therefore needs a note to allow her to use it as needed. The patient and her caregiver should be educated about the importance of having her inhaler close-by and how to use it.
Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?
Model Note: He likely has decreased breath sounds on auscultation due to emphysematous changes to his lungs from smoking. As alveoli get destroyed from chronic inflammation and irritation, the surface area in the lungs is decreased. This leads to less area for gas exchange and subsequent decreased oxygen saturation. As his body adjusts to chronic oxygen deprivation, attention must be given to how much supplemental oxygen is given. The goal with someone with severe COPD is to keep oxygen saturation 88% to 92%. If he is given too much oxygen his drive to breathe with be decreased and puts him at risk for death.
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