Respiratory Responses Mr. Jefferson Asthma Attack

Respiratory Responses Mr. Jefferson Asthma Attack Essay Assignment Paper

Mr. Jefferson who is aged 30 years old walks into your clinic. You already are aware that he has asthma since this is not his first time at the clinic. He goes no to inform you clearly that in the last two or three weeks, he has had sleepless nights and is constantly awakened by coughs. Due to this intensified coughing, he has had to increase the use of his salbutamol inhaler every day. His peak flow has also increased especially in the morning and at night. Mr. Jefferson has also been transferred at work and he now operates mostly in the open which could be an exposure to allergens or cold weather.

Psychophysiology of Following Exposure to Cold weather

In a case of acute asthma, the exacerbation comes about due to the contraction or else the bronchoconstriction of the smooth muscles of the bronchiole. When this happens, the airways are narrowed in a response to certain agents. These agents are stimuli and are either irritants or allergens (VanMeter and Hubert 2014). The exposure to these stimuli triggers allergies in the system of a patient and hence portraying the symptoms and signs of an asthma attack.

Early Signs of Acute Asthma Attack

Being a chronic illness, the effect of asthma on a patient’s body are long-lasting and hence it makes the control of the disease a process. The infection affects the airways and also the lungs. The airways become narrowed and inflamed occasionally. The patient then experiences wheezing due to bronchoconstriction. There is also the production of thick mucus which in turn causes coughing and leads to improper breathing. The short breaths are brought about by poor oxygen supply. There is also tightening of the chest. All these are signs that Mr. Jefferson has experienced.

Significant Medical and Drug History Questions

As a medical personnel, it is important to know exactly the record of the patient you are dealing with since the onset of the asthmatic attacks to his current state. This will enable you to plan, updates and also to provide the best medical advice possible to the patient. You should ask questions such as; if he has commenced on any medication? Is there any medication that he has stopped since the last meeting? Has he noted any new allergic responses since the last meeting? When was the last asthma attack and how long did it last? What his feeding habits? The medical history of his family and whether they have a history of asthma attacks? And many more relevant questions that will help you get the right medication for the patient.

Precautions in Treatment

The most important factor that one is to consider while providing the appropriate medication for any asthma patient, is to provide a process that will reduce the severity of asthma attacks to prevent more damage on the patient’s respiratory organs (Sun 2017). The patient should also be given precautions to avoid things and activities that may trigger their asthma attacks. Items such as colognes, perfumes and smoking should be avoided at all costs. The patient in this case should also avoid going out into the cold while dressed inappropriately. He should always protect his own health first by keeping warm and avoiding the cold.

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Effects of Prolonged Asthma Attack

With more asthma attacks that are uncontrollable, the patient is at high risk of losing their life. This is due to conditions known as acidosis and hypoxia which may lead to other fatal conditions such cardiac arrhythmias (Tello et al 2019). These frequent attacks can be terminal and may weaken one for life until they succumb to the condition.

Measures to reduce Anxiety

The signs and symptoms of asthma can be frightening especially to young people. The inability to breath or breath well is a very scary ordeal that may lead to someone with acute asthma developing other conditions. It may lead to severe cases of anxiety that is further detrimental to the general health and well-being of a patient. The patient should therefore avoid factors that may trigger any asthma attacks.

Inhalers and Their Use in the Control of Acute Asthma

When you get to look at his PMH, it shows a maintenance of 2 puffs of salbutamol MDI and beclometasone 100 MDI also 2puffs a day. He has also been on antihistamines for a while. The immediate care protocol to ensure that he receives include; stopping his use of the beclometasone inhaler in order to reduce the inhalation of steroids and to explain that he needs to ensure that he is using his inhaler as prescribed and also following the set procedure such as cleaning his mouth and brushing after using the inhaler (VanMeter and Hubert 2014).

Likelihood of Frequent Respiratory Infections

A patient such as Mr. Jefferson who has asthma is at a very high risk of infection from other illnesses caused by mostly virus and bacteria (Doshi et al 2017). Their bodies are weakened and hence the risk of infection from these organisms is increased. Being a topic condition, asthma increases a patient’s susceptibility to both non-respiratory microbial and respiratory infections.

Dental Procedure Concerns

Medical reports and research has proven and shown that dental material may be a cause for further exacerbation in cases of acute asthma. These concerns include; tooth enamel dust, dentifrices, fissure sealants, fluoride trays and cotton rolls. One is, therefore advised to always have supplemental oxygen during the treating of an asthmatic patient just in case of an exacerbation.

Nutrition

Cases of acute asthma can be either increased or reduced by the different diets as taken by a patient. Patients who feed on food that is loaded with Vitamin C and E, magnesium, selenium and omega-3 fatty acids have a decreased rate of asthma attacks. Most of the nutritious value of these substances provide antioxidants which are very essential for the protection of cells and ensuring minimum damage. Asthmatic patients should also avoid cow’s milk, soy, wheat, eggs, tree nuts and fish (VanMeter and Hubert 2014).

Aspects of Immobility

Patients with acute asthma such as Mr. Jefferson just like any other with respiratory conditions develop an increased rate in their mobility with time as the exacerbations affect their ability to move with time. This is mainly due to weakened muscles due to less and less activity. Most of them are usually aged and hence their movement is highly reduced.

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