ASTHMA CASE STUDY_ BT A 31 YEAR OLD MAN_ COMPLETE ELABORATED Exam Questions and Answers (2024/2025) (Verified Answers)
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ASTHMA CASE STUDY
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ASTHMA CASE STUDY
ASTHMA CASE STUDY_ BT A 31 YEAR OLD MAN_ COMPLETE ELABORATED Exam Questions and Answers (2024/2025) (Verified Answers)
ASTHMA CASE STUDY_ BT A 31 YEAR OLD MAN_ COMPLETE ELABORATED Exam Questions and Answers (2024/2025) (Verified Answers)
ASTHMA CASE STUDY_ BT A 31 YEAR OLD MAN_ COMPLETE ELABO...
Asthma Case Study
Directions: Complete the questions to the case study
B.T., a 31-year-old man who lives in a small mountain town in Colorado, is highly allergic to
dust and pollen and has a history of mild asthma. B.T.’s wife drove him to the emergency
department when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler,
he was unable to lie down, and he began to use accessory muscles to breathe. B.T. is immediately
started on 4 L O2 by nasal cannula and IV D5W at 75 mL/hr. A set of arterial blood gases
(ABGs) is sent to the lab. B.T. appears anxious and says that he is short of breath.
Vital signs are: BP152/84, Pulse rate 124, Respiratory rate 42, temperature 100.4˚ F (38.4 ˚ C).
1. Are B.T.’s vital signs acceptable? Give your rationale.
No BT vital signs are not normal. His Respiratory rate is nearly twice of what it should be
12-20. Also, his temperature, BP, and heart rate are all elevated.
2. What is the rationale for immediately starting B.T. on O2?
BT was started on O2 because he was exhausting other muscles to breathe. He also has
shortness of breath. His respirations could be telling us he isn’t receiving enough oxygen.
3. Keeping in mind B.T.’s health history and presenting complaint, what are the critical areas you
need to evaluate during your physical assessment?
The most critical areas you need to evaluate during the physical assessment is his airways, lungs,
and chest.
Medication orders as follows:
Albuterol 2.5 mg plus ipratropium 0.5 mg nebulizer treatment STAT,
then q4hr Methylprednisolone 100 mg IV now
Albuterol inhaler 2 puffs q4hr as needed
4. What is the rationale for the albuterol 2.5 mg plus ipratropium 0.5 mg nebulizer treatment
STAT then q4hr?
Albuterol and ipratropium
are both bronchodilators,
and considering B.T. is
experiencing an acute
asthma attack, it’s vital
This study source was downloaded by 100000888206670 from CourseHero.com on 07-25-2024 04:52:58 GMT -05:00
, that he receives
adequate oxygen.
Albuterol and ipratropium
has also been shown to
work more quickly than
Albuterol
alone.
Albuterol and ipratropium
are both bronchodilators,
and considering B.T. is
experiencing an acute
asthma attack, it’s vital
that he receives
adequate oxygen.
This study source was downloaded by 100000888206670 from CourseHero.com on 07-25-2024 04:52:58 GMT -05:00
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