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Respiratory therapy case study asthma - Essay Example

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Inspection: patient crying, anxious in appearance, cyanotic, pursed-lip breathing, extreme shortness of breath, using accessory muscles of inspiration, strong productive cough with thick and white sputum.
The patient has severe form of persistent asthma based on the following…
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Respiratory therapy case study asthma
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Topic: Respiratory Therapy Case Study for Asthma Response S: “I feel horrible, and my chest is tight.” O: RR - 28/min, HR - 190 bpm, BP - 110/85mmHg, PEFR - 150 L/min Inspection: patient crying, anxious in appearance, cyanotic, pursed-lip breathing, extreme shortness of breath, using accessory muscles of inspiration, strong productive cough with thick and white sputum.Auscultation: diminished breath sounds, wheezing, and rhonchi bilaterally.Diagnostics: Pulse oximetry: 77% (on 2 L/min of Oxygen per nasal cannula)Chest X-ray: severe air trapping with depressed hemidiaphragms and hyperlucency of the lungs.

ABG: pH - (7.45), PaCO2 - (28) mmHg, HCO3- - (19) mmol/L, and Pa O2 - (40) mmHgA: Severe Persistent Asthma The patient has severe form of persistent asthma based on the following observations: (1) shortness of breath at rest, (2) sits upright, (3) anxious in appearance, (4) use of accessory muscles, (5) bilateral wheezing and rhonchi, (6) HR >120, (6) PaO2

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