Active Asthma Case Study

Decent Essays
Kylie has returned six weeks since the last appointment. Not surprisingly given the slightly warmer weather, Kylie’s symptoms have improved. A couple of days after I saw her her cough did increase and she commenced the Tilade inhaler. A few days later she went to Mildura for five days and with the warm weather there her cough and other upper airway symptoms settled. She has been quite well since and stopped Tilade after a couple of weeks. She never got to the point of commencing Alvesco.

A RAST assay to a panel of standard allergens plus bird mix including canaries had come back negative. Lung function test today revealed normal baseline spirometry and a negative bronchoprovocation test, arguing against the presence of any active asthma.

Related Documents

  • Improved Essays

    Bread Bakery Case 5.07

    • 848 Words
    • 4 Pages

    Did you every have allergy testing? What were you allergic to? COPD…

    • 848 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Nursing Case Summary

    • 759 Words
    • 4 Pages

    On exam, there was perhaps more air excursion. Still no wheezing or rhonchorous breath sounds, and otherwise normal. A/P Dorothy Hoffman is 57-year-old female here today with a persistent cough and chest tightness. I did discuss with her at this point, that I do not feel antibiotics are necessary. She was in agreement of that, but we did talk about what to be monitoring for.…

    • 759 Words
    • 4 Pages
    Superior Essays
  • Great Essays

    Her coughing persists into long, restless nights. She uses her blood pressure cuff. Higher today…must be the coughing. Another week passes, with no improvement. Or, is it…

    • 534 Words
    • 3 Pages
    Great Essays
  • Improved Essays

    Case Study Asthma

    • 1233 Words
    • 5 Pages

    A case study of asthma in a 10 year old European child. This case study will cover the normal structure and function of the respiratory system. This case study will also discuss the changes that occur when asthma is triggered, and the routine diagnostic tests/vital signs for asthma. The normal range of the routine tests/vital signs for asthma and three nursing interventions that are required to meet the clients needs in relation to asthma will be explained further.…

    • 1233 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Janice has returned six weeks since the last appointment. Overall Janice is feeling better with minimal cough present. She does report some nocturnal wheeze and chest tightness and does at time note a slight constricted feeling in the throat. As you would be aware, a recent RAST assay has demonstrated sensitisation to a number of allergens but in particular dust mite. A couple of weeks ago Janice put in place some dust mite minimisation strategies including vigorous cleaning of her carpet and changing her doona and pillow cases and has noted an improvement is symptoms since.…

    • 433 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Halah's Case Summary

    • 475 Words
    • 2 Pages

    To deal with this case they prescribed a steroid (glucocorticoid) to the patients, to reduce the inflammation in the airway. On the other side, they‘ve concluded that the second patient have an allergy from cats that’s been causing his symptoms; so, they advised the parents to keep their child away from…

    • 475 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Apa Case Study Asthma

    • 468 Words
    • 2 Pages

    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.…

    • 468 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Clinical History Summary

    • 477 Words
    • 2 Pages

    Summary of Clinical History: A 56 year-old obese male, living alone in Chicago, was found dead in his home. Patient presented with high blood pressure, high cholesterol, and gout. Feet were swollen and necrotic along with poor vision. High levels of ketones were found in the urine and toxicology reports came back with metformin, glyburide, and novolin-N in the system Description of Gross Lesions: External Examination: Respiratory System: I examined the trachea and saw it in good shape and health.…

    • 477 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Asthma Case Study Essay

    • 1693 Words
    • 7 Pages

    - Wheezing - Dyspnoea: patients describe this as either feeling out of breath or not being able to release air from the lungs (National Heart, Lung, and Blood Institute 2014) - Chest tightness/pain When a substance is inhaled by a patient who is hypersensitive to it, IgE antibodies cause mast cells in the pulmonary interstitium to release both histamine and the slow reacting substance of anaphylaxis (SRS-A) (Fuchs 2013). During this phase, no signs and substances are detected until the next stage. When Histamine binds to the receptor sites of the larger bronchi, it results in swelling and inflammation of the smooth muscle, irritation and swelling of the mucous membranes (Fuchs 2013). This is what results in the symptoms of dyspnoea, prolonged expiration and an increase in the respiratory…

    • 1693 Words
    • 7 Pages
    Superior Essays
  • Decent Essays

    Besnik Case Study

    • 231 Words
    • 1 Pages

    He has noted some reflux symptoms since. He has recommenced it as of today. He has observed that when taking Nexium his cough does seem better. He is also reporting intermittent nasal congestion with post-nasal drip. Chest auscultation remains clear.…

    • 231 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    This morning around 8:45p in Dorm A-2 I felt an Asthma attack coming so I quickly went to the counselor office to retrieve my inhaler. The concern was when I got to the office no one from Peden had a key to assist me with retrieving my inhaler. My part was to have handy , yet there were a team of people in the office and known one had key to help. Kudos to Peden someone ran outside to find key while other did what they could to assist.…

    • 89 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Asthma Patients Paper

    • 1982 Words
    • 8 Pages

    PFT with asthma patients • Why do we need to use PFT with asthma patients? Pretto, J., et.al. (2013). Reasons for Referral for Pulmonary Function Testing: An Audit of 4 Adult Lung Function Laboratories.…

    • 1982 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    The treatment goal is to manage the disease daily focusing on ways to prevent acute attacks. During an acute attack, the treatment goal is to maintain an open airway and alveolar well ventilated. Spirometry, chest x -ray, are performed to evaluate Asthma; in acute asthma attack, arterial blood gas, peak flow meter, and allergy testing in performed (Hunther & McCance,…

    • 762 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    As a child many people go through dramatic experiences and changes,I just happened to survive mine. I was born on the 16th of September 2003, a healthy miracle baby. At the age of two I was diagnosed with asthma and I lost my sister. Asthma played an important role in my life I sometimes had asthma attacks at the middle of the day and night. One thing I remember as I got older is when I first went to a specialist, I remember getting my blood taken with a needle I called a butterfly shot.…

    • 355 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    1. Discuss the pathophysiology of asthma. Asthma occurs when a patient’s airway becomes narrow, swells and produces excess mucus. The patients’ breathing becomes labored and causes shortness of breath, wheezing, and coughing.…

    • 3337 Words
    • 14 Pages
    Great Essays