Guidelines for diagnosis and management of bronchial asthma

Guidelines for diagnosis and management of bronchial asthma Essay Assignment Paper

Select a cardiovascular or respiratory disease process (hypertension, heart failure, dyslipidemia, ischemic heart disease, asthma, COPD, or pneumonia) and discuss how the patient\’s lifestyle and environment impacts the disease process.Guidelines for diagnosis and management of bronchial asthma.

Identify evidence-based pharmacologic and non-pharmacologic interventions appropriate for the selected disease process.

Include evidence-based treatment guidelines for the selected processes.

Analyze current evidence-based treatment modalities specific to the aging population and include evidence-based treatment guidelines for the selected processes.

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Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer reviewed articles and professional association guidelines (www.guideline.gov). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources.Guidelines for diagnosis and management of bronchial asthma.

Include the following in your clinical case presentation:

A discussion the pathophysiology of the disease, including signs and symptoms
An explanation of diagnostic testing and rationales for each
A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization such as thyroid (American Thyroid Association), OB-GYN (ACOG), urology (AUA), etc.
Next, address the following questions:

How does the information in this case inform the practice of a master’s prepared nurse?
How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?
What was the most important information presented in this case?
What was the most confusing or challenging information presented in this case?
Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.
The use of medical terminology and appropriate graduate level writing is expected.Guidelines for diagnosis and management of bronchial asthma.

Your paper should be 3–4 pages, excluding cover page and references page.

Your resources must include research articles as well as reference to non-research evidence-based guidelines.

Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.Guidelines for diagnosis and management of bronchial asthma.

Case Summary

Mr. E.O, a 30 year old African American who works as a car mechanic (6years) and a well-known asthmatic presented to the emergency department with complaints of mild shortness of breath and waking up twice during the night due to persistent night coughs. The initial recordings of that morning and night peak flows were averagely 580L/min and 540L/min in that order. His best peak flow is reportedly 640 L/min. Mr. EO’s asthma has been maintained on salbutamol MDI 2 puffs as needed and beclometasone MDI 2 puffs twice daily for the last two years. Guidelines for diagnosis and management of bronchial asthma.However, following a recent medication change, he reportedly failed to obtain a recent medication Seretide MDI 50 2 puffs twice a day that he had been prescribed. That he had been prescribed one week ago. Although he denied being a chronic smoker, he admitted to smoking 3 cigarettes once a week for the last 4 months. He is a non-alcoholic and has a positive familial history of asthma (father who is deceased).Guidelines for diagnosis and management of bronchial asthma.

Pathophysiology of Acute Asthma

The pathophysiology of acute asthma starts when the airways become inflamed leading to the obstruction of airflow. In this case, the bronchial tends to also become hyper responsive. An exacerbation can be triggered by either of the following factors: stress, dehydration, anxiety or even grief. In this case, it is likely that the client’s symptoms were as a result of dehydration following strenuous activity during work hours while out in the field. When the level of body water as it relates to the epithelium decreases, the likelihood of damage to the epithelial tissue and edema can be determined (Doeing & Solway, 2013). Therefore, during an attack due to dehydration, there are notable changes in the blood ph. and arterial blood gas. The former can increase to as high as 7.60 and the latter decrease to as low as 40mmhg. The levels of PaCO2 will immediately increase.Guidelines for diagnosis and management of bronchial asthma.