Apa Case Study Asthma

1. Classify JR’s asthma severity and control based on signs and symptoms prior to ER admission. JR’s severity would be moderate relating to the fact that he has more than one nighttime awakening; symptoms are daily with wheezing and shortness of breath (SOB); daily use of albuterol; exposure to smoke and allergens. (Chisholm-, Schwinghammer, Wells, Kolesar, & DiPiro, 2016, p. 243). His asthma is not well controlled related to daily use of inhalers; symptoms are > 2 times a week; continued exposure to allergens and triggers. (Chisholm-Burns, et al., p. 253).
2. Classify JR’s exacerbation severity based on PEF and symptoms. Not able to assess if his peak flows. “Predicted lung function values from either spirometry or PEF are related to a person’s age, gender, height and ethnicity.” (Kaufman, 2011, p. 52). …show more content…
Identify the various triggers in JR’s life that may exacerbate asthma and prevent control. Exposure to neighbors’ smoking, two cats that sleep at the head of the bed with him, hypertension, and irritants and wood dust from occupational exposure are the noted triggers for JR. (Kaufman, 2011, p. 50). …show more content…
Which step should JR have been on prior to ER based on severity and current medications?
5. Which medications are dose incorrectly and/or inappropriate for JR’s asthma severity?
• According to Lexicomp, albuterol is 2 puffs every 4-6 hrs. PRN’.
• Ipratropium bromide MDI should be 2 puffs every 6 hrs., with extra doses PRN for a maximum of 12 puffs/24 hrs. (Medscape,