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Week 8 case study - Assignment Example

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NHLBI (National Heart, Lung, and Blood Institute) (2014) recommends three stages of diagnosing asthma. First, the physician should investigate the patient’s medical and…
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Week 8 case study

The patient also reports a similar instance that happened ten years ago after she played soccer.
Second, the patient will have to undergo a physical examination which will give more information regarding the patient’s condition. A physical examination typically involves listening to the breathing of the patient and looking for signs of asthma and allergies. An individual with asthma may produce wheezing sounds while breathing, a running nose or swollen nasal passages. Allergic skin conditions may also be present. In our patient’s case, there is the presence of wheezing and dyspnea which are typical symptoms of asthma. Also, her cough is non-productive, meaning bacterial infections such as tuberculosis are ruled out.
Third, the Institute recommends diagnostic tests to assess lung function. A spirometry test is usually done to determine the volume of air that an individual can breathe in and out. The test also measures how fast the patient can exhale (Madsen et al., 2014). However, in our case, the physical examination and patient history provide enough information to make a diagnosis. As a result, she will not be subjected to diagnostic tests.
The nursing care plan will include management at the primary, secondary and tertiary levels. At the primary level, the patient will be required to minimize exposure to agents that trigger an asthmatic attack. These include pollen, dust and other respiratory tract irritants such as tobacco (Heederik, Henneberger & Redlich, 2012). In this patient’s case, it has been established that strenuous physical activity triggers an attack so she should ensure that she does not engage in such exercise. Moderate physical activity is however recommended. Patient education is also important. The patient will be educated on the various ways that an asthma attack can be prevented and managed. She will also learn about the various medication options, and which ones are most appropriate for her. The patient may also need to ... Read More
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