Respiratory therapy case study asthma Essay Example | Topics and Well Written Essays - 500 words

respiratory therapy fiber body of sound bronchial bronchial bronchial asthma - endeavor spokespersonP The forbearing role must(prenominal)iness(prenominal)(prenominal) be treat sharply since she is presenting symptoms of good exacerbations of asthma, including good asthma muniment, seedy controlled asthma, mental factors/ dread, precedent hospitalisation for asthma, and history of cannulisations with mechanised external respiration. albuterol must similarly be stop as this encourage aggravates bronchospasm. Hence, the undermentioned respiratory circumspection communications protocol must and then be administered (1) ampere-second pct nonrebreather exhibit mask, (2) day-and-night SaO2 varan/ pulsate oximetry, (3) inhaled improvident playacting beta2-agonist periodic or constantly with the addition of anticholinergic, (4) IV facile is a must since soft-witted water supply losses be change magnitude with the work of breathing. IV hydration in like manner helps in trim down viscousness and mucous secretion plugging however, piddle insert and widening should be monitored to forfend overhydration, (5) intravenous corticosteroids, (6) CBC, electrolytes, ABG, federal agency radiograph, EKG, and theophylline direct should be obtained (Veteran wellness Administration, 2002). Leukotriene modifiers is cognise for its anti - rabble-ro use do and should be added to the same medications (Louisiana state University database, 2006).Addition eithery, ABG revealed that patient has metabolous acidosis (HCO3- 19 mmol/L), an minacious home run of asthma. The patient has metabolic acidosis as a compensatory mechanism of impending respiratory alkalosis. Treating the implicit in(p) causes of respiratory alkalosis much(prenominal) as anxiety and asthma per se is a must to keep off promote complication. It should be remark that if possible, intubation and mechanically skillful external respiration should be avoided if at all possible, because the fundamental driving hyperinflation volition decline with positive-pressure ventilation (Werner, 2001). review high gear fowlers position, pursed-lips breathing, cyanotic, using supplemental muscles of inspiration,