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

Respiratory therapy case study asthma - Essay ExampleP The tolerant must be treated sharp since she is presenting symptoms of life-threatening exacerbations of asthma, including severe asthma history, poorly controlled asthma, psychological factors/anxiety, previous hospitalization for asthma, and history of intubations with mechanical dissemination. Albuterol must also be stopped as this further aggravates bronchospasm. Hence, the following respiratory care protocol must therefore be administered (1) 100 percent nonrebreather face mask, (2) continuous SaO2 monitor/pulse oximetry, (3) inhaled pithy acting beta2-agonist hourly or continuously with the addition of anticholinergic, (4) IV fluid is a must since insensible water losses are increased with the resolve of breathing. IV hydration also helps in reducing viscosity and mucus plugging however, urine input and output should be monitored to avoid overhydration, (5) intravenous corticosteroids, (6) CBC, electrolytes, ABG, chest radiograph, EKG, and theophylline train should be obtained (Veteran Health Administration, 2002). Leukotriene modifiers is known for its anti - inflammatory effects and should be added to the aforementioned medications (Louisiana State University database, 2006).Additionally, ABG revealed that patient has metabolic acidosis (HCO3- 19 mmol/L), an ominous sign of asthma. The patient has metabolic acidosis as a compensatory mechanism of impending respiratory alkalosis. Treating the underlying causes of respiratory alkalosis such as anxiety and asthma per se is a must to avoid further complication. It should be noted that if possible, intubation and mechanical ventilation should be avoided if at all possible, because the underlying dynamic hyperinflation will worsen with positive-pressure ventilation (Werner, 2001).Inspection high fowlers position, pursed-lips breathing, cyanotic, using accessory muscles of inspiration,