To hire our pro writers, fill the instructions form & checkout for your order—guaranteed top college graduates & NO AI—Plagiarism in the final papers! Pursuing an 8-16 week course? Let the best in ace my homework writing services and online class help, assist you today.
Posted: October 31st, 2023
Discussion 3
Pulmonary Function: D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.
Case Study Questions
1. According to the case study information, how would you classify the severity of D.R. asthma attack? 2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study. 3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.
We hear “Can you write in APA or MLA?” all the time—yes, and more! Our writers master every style—APA, MLA, Harvard, etc.—delivering flawless formatting for you.
According to the information provided, D.R.'s asthma attack can be classified as moderate-severe persistent based on recent guidelines (Global Initiative for Asthma, 2022). Some indicators include peak flow rates ranging from 65-70% of his personal best over the past week, worsening symptoms despite use of albuterol inhaler, and nighttime awakenings due to asthma symptoms on three nights in the last week.
Common triggers for asthma exacerbations include upper respiratory viral infections, allergens such as pollen, dust mites, and animal dander, air pollution, tobacco smoke, exercise, and changes in weather (National Heart, Lung, and Blood Institute, 2020). In D.R.'s case, the onset of his symptoms coinciding with a stuffy nose, watery eyes, and postnasal drainage suggest an upper respiratory viral infection as the likely precipitant (Martinez et al., 2021). Allergens such as pollen are also possible contributing factors given the seasonal timing of his presentation.
There are several potential etiological factors that may underlie D.R.'s asthma. Genetic predisposition is important, as asthma often runs in families (Ober and Yao, 2011). Environmental exposures during critical windows of lung development in utero and early childhood can also program airway hyperresponsiveness and allergy that manifest as asthma later in life (Lynch and Jones, 2020). Obesity is a well-established risk factor, with the exact mechanisms still under investigation but likely involving chronic lung inflammation (Beuther and Sutherland, 2007). Psychosocial stress may exacerbate airway inflammation and symptoms in vulnerable individuals as well (Wright et al., 2020).
In summary, D.R. is experiencing a moderate-severe asthma exacerbation likely triggered by an upper respiratory infection in the context of atopic and genetic asthma predispositions. Close monitoring and adjustment of controller medications are warranted to regain symptom control. Please let me know if you need any clarification or have additional questions.
Beuther, D. A., & Sutherland, E. R. (2007). Overweight, obesity, and incident asthma: a meta-analysis of prospective epidemiologic studies. American journal of respiratory and critical care medicine, 175(7), 661–666. https://doi.org/10.1164/rccm.200606-819OC
Global Initiative for Asthma. (2022). Global Strategy for Asthma Management and Prevention. https://ginasthma.org/wp-content/uploads/2022/04/GINA-2022-Main-Report-FINAL-22-04-04-WMS.pdf
Lynch, S. V., & Jones, J. C. (2020). The lung microbiome in asthma. Annals of the American Thoracic Society, 17(Supplement_2), S151–S155. https://doi.org/10.1513/AnnalsATS.202001-049FR
Martinez, F. D., Vercelli, D., & Ober, C. (2021). Asthma. The Lancet, 397(10289), 1683–1697. https://doi.org/10.1016/S0140-6736(21)00606-1
National Heart, Lung, and Blood Institute. (2020, February 11). What causes an asthma attack? U.S. Department of Health and Human Services. https://www.nhlbi.nih.gov/health-topics/asthma
Ober, C., & Yao, T.-C. (2011). The genetics of asthma and allergic disease: A 21st century perspective. Immunological reviews, 242(1), 10–30. https://doi.org/10.1111/j.1600-065X.2011.01047.x
Wright, R. J., Rodriguez, M., & Cohen, S. (1998). Review of psychosocial stress and asthma: an integrated biopsychosocial approach. Thorax, 53(12), 1066–1074. https://doi.org/10.1136/thx.53.12.1066
Every student wants the best grades and that’s our Focus
Our team consists of outstanding writers who have specialized knowledge in specific subject areas and professionals experienced in academic research writing. They hold at least a graduate degree—230 with Masters and MSN qualifications, experts carefully selected and trained to ensure the best quality of our work. .
We’re dedicated to bringing on board top-notch writers who can provide excellent work at prices that make sense for college students; affordable papers. Our goal? To give you the best bang for your buck without ever compromising on the quality of our essay writing services—or the content of your paper. #Don’t forget to use the DISCOUNT code in the COUPONS section of the order form before you pay!.
The service guarantees that our final work is 100% original, rearched and human written expertly. We are committed to delivering plagiarism-free and AI-free work to each university/college student's 'write my paper' request. To uphold this promise, we check every draft for any possible instances of duplication, wrong citation, grammar errors and artificiality before we send it to you. Thus, you can always rely on us to write genuine and high-standard content for your essay assignments.
When you trust to place an order with Homework Ace Tutors, here is what happens: