100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
Chamberlain College of Nursing : NR603 Week 2 Case Discussion _ Pulmonary Part 1 / NR 603 Week 2 Case Discussion _ Pulmonary Part 1 (NEW, 2020)$7.49
Add to cart
chamberlain college of nursing nr603 week 2 case discussion pulmonary part 1 nr 603 week 2 case discussion pulmonary part 1 new
2020
Written for
CHAMBERLAIN COLLEGE OF NURSING
NR603 (NR603)
All documents for this subject (92)
Seller
Follow
chamberlain_university
Reviews received
Content preview
NR 603 Week 2 Case Discussion: Pulmonary Part 1
Based upon the presenting symptoms and assessment findings given, the most likely
diagnosis related to this case study would be occupational asthma or baker’s asthma. This is an
active airway disease, which affects four to twenty five percent of bakers worldwide (Brittner,
Peters, Frenzel, Muskin, Brettschneider, 2015). Michelle complains of shortness of breath while
at work, however she has relief and no longer experiences shortness of breath once leaving work
and, on the weekends, while at home. Physical exam findings showed thin, exudate to bilateral
nares, boggy, pale mucosa, and wheezing noted upon inspiration and expiration. Due to
wheezing and shortness of breath while at work could be due to an allergen related to an
inhalation of a type of flour used at the bakery. With Michelle having exudate to both nares this
would be related to an allergic rhinitis. Allergic rhinitis is an inflammation of the nasal mucosa,
which is an IgE-mediated allergy causing sneezing, a stuffy nose, or a runny nose (Tanno, et al.,
2016).
In 2016, Michelle, had a pulmonary function test performed. There was an increase of
15% seen in her pulmonary function test post bronchodilator. The existence of airflow
obstruction and a good bronchodilator response is consistent with the diagnosis of asthma. Key
indicators associated with asthma include the following: recurrent difficulty in breathing or
shortness of breath, recurrent wheezing or tightness in one’s chest, and a cough (worsening at
night). The diagnosis of asthma requires these symptoms and demonstration of reversible airway
obstruction using spirometry (Mccracken, Veeranki, Ameredes, & Calhoun, 2017). Michelle is
experiencing symptoms daily, and along with this her FEV1 is >60% but less than 80%. Based
upon her severity she would be considered a moderate persistent asthmatic.
As a healthcare provider, to treat Michelle’s asthma, I would initially order a CBC, CMP,
chest x-ray, and I would refer her to an allergist to have skin testing performed. A CBC would
help to rule out infection, where as a CMP would check basic electrolytes, kidney function, and
her blood glucose. A chest x-ray would help to exclude other possible disease and give use the
opportunity to compare it with her chest x-ray from 2016. For asthmatics with a moderate
persistent severity, it is recommended to use a low-dose inhaled corticosteroid and a long-acting
inhaled beta two-agonist (Uphold & Graham, 2013). In acute asthma attacks, short beta two
agonists provide individuals with rapid relief, however a daily maintenance of asthma would
require an inhaled corticosteroid. ProAir, is a SABA, which is used as a rescue or relief inhaler
for asthmatics (Hon, Leung, & Leung, 2014). A SABA is indicative and used for
bronchospasms. A combination inhaler (corticosteroid + long-acting best-two agonist) such as
Symbicort helps to improve asthma control and is effective in controlling persistent asthma.
Singulair is a cysteinyl leukotriene receptor antagonist used for the maintenance treatment of
asthma (prevention of bronchostriction) and to relieve symptoms of seasonal allergies such as
rhinitis (Hon, Leung, & Leung, 2014). In knowing this, I would place Michelle on the Singulair
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller chamberlain_university. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.49. You're not tied to anything after your purchase.
