Asthma Management – J.S. is a 42-year-old man Case Study

NUR2063 Essentials of Pathophysiology

Asthma Management Case Study

J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath.

Vital signs

BP = 152/84           HR = 124 bpm                  RR = 42       Temp = 100.40F

ABGs

pH = 7.31              PaCO2 = 48            HCO3 = 26   PaO2 = 55

Investigate the condition of asthma and the manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.

1. Do you have any concerns with the numbers above?
2. Identify what may be causing J.S. to have an exacerbation of asthma.

 Instructions:

Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.

You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks

 Title of Paper

Identify the disorder from the case study. Write a 3-5 page paper about the condition/issue. Do you have any concerns with the numbers above? Identify what may be causing J.S. to have an exacerbation of asthma.

The introductory paragraph presents the topic of the paper and typically summarizes the main points and ends with a thesis.  The body of the paper covers the main points and normally includes citations to sources that support the author’s claims and information.

Remember to change this template so its information applies to you and to your classes.  Keep the paragraphs indented and double spaced; do not switch to block paragraphing.

The body of the paper covers the main points and normally includes citations to sources that support the author’s claims and information.

Pathophysiology

Provide the pathophysiology of asthma.

Etiology

Provide a detailed discussion of asthma.

Clinical Manifestations

Provide a detailed discussion of the clinical manifestations of asthma.

Treatments

Provide a detailed discussion of the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.

Conclusion

Papers should end with a conclusion.  Conclusions normally summarize the main points that were addressed, without introducing new content.

The final portion of the paper is the references list.  The references list gives complete information about all of the sources that are cited in the paper.

References

Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number (Issue number), Page numbers.

Story, L. (2020). Pathophysiology: A Practical Approach (4th Edition). Jones & Bartlett Learning. https://bookshelf.vitalsource.com/books/9781284229967  Insert page numbers.