Marjorie Benton

Common sign for asthmatic children

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  1. 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 signsBP = 152/84 HR = 124 bpm RR = 42 Temp = 100.40FABGspH = 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.

    Prepare a 3-5 page paper outlining the causes of asthma, the symptoms that the client presents and the management of the disorder. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts

Requirements: 3-5 page paper

Answer preview

The normal pH is normally between 7.35 and 7.45. The patient’s partial pressure of carbon dioxide (PaCO2) readings are 48 is higher compared to the normal levels of 38 TO 42 mm Hg. J.S. bicarbonate level in the body is 26, which shows that it is within the range. Lastly, the PAO2 level is 55, indicating that it is lower than normal, which is caused by the poorly ventilated alveoli. The vital readings are the primary concern because they signify that J.S. has a severe asthmatic attack that can result in death if expedient measures are not taken place.

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Common sign for asthmatic children