Pathophysiology: Kinds of Treatment Given to Asthma Patients - Essay Example

Flovent is administered in three doses the low dose of 44ug, the medium dose of 110ug, and the high dose of 220 ug. The Severent is in the form of MDI, which offers 25ug/puff, and also in the form of DPI, which gives 50g/blister (p. 555).   Flovent is not an immediate cure therefore one should never increase the dose or stop using the drug. I agree that patient education is necessary because Flovent is administered orally, and one should shake the container before use. The patient is supposed to breathe deeply and then exhale. As the patient is inhaling one is supposed to put the lips around the mouthpiece and push the container. The patient is supposed to rinse the mouth with water and avoid spraying the drug into the eyes (Pocket Books & Thompson, 2007). In asthma patients, the peak flow meter is important to help know when an attack is about to occur (Levy, Hilton & Barnes, 2000).

Stacey Kneeland's response essay

I agree with Stacey Kneeland that controllers assist in managing inflammation and swelling of the airways and prevent them from being delicate to asthma provocatively (Graham & ‎Kurtis, 2010). Inhaled corticosteroids are safe and well-condoned when used in the right dose. The two commonly used inhalers are budesonide and fluticasone. Side effects may include nosebleeds, sore throats, hoarseness, mouth infection, dry mouth and nose, bad taste in the mouth, and nausea. Moreover, patient education is imperative because they are supposed to rinse their mouths and spit after inhalation when using inhaled corticosteroids. The patient is supposed to know how to interpret the peak flow meter reading to prepare for the next attack (Graham & ‎Kurtis, 2010). I agree that Pulmicort is an anti-inflammatory steroid drug prescribed for children aged between 12 months to eight years and is inhaled daily. I agree that the peak flow meter is used to measure peak expiratory flow to determine the air flows from the lungs.

Marsha Jackson's response essay

I agree with Marsha Jackson that acute respiratory distress syndrome (ARDS) is an illness that presents in the form of the lung failing to give normal air circulation. The ARDS can advance to respiratory failure which can result in death (Ricci & Kyle, 2009). Symptoms in young children comprise of reducing oxygen saturation, hyperventilation, cyanosis, and increased respiratory exertion (Hockenberry, Wong, Wilson & Wong, (2013).  (p. 1257). There are there general respiratory tract infections that include bronchiolitis, laryngotracheobronchitis (croup), and epiglottitis. Bronchiolitis is a common respiratory disease that is highly contagious. The signs are normally present in lower and upper respiratory tract infections. The respiratory syncytial virus is responsible for 50%-70% occurrence of bronchitis. The first stage of the illness is present in cough, nasal congestion and rhinorrhea, loss of appetite, irritability, and posttussive emesis. Some patients develop fever but not all of them.  In infants, symptoms include barrel chest, labored breathing, supraclavicular retractions, and intercostal and subcostal. In infants less than two months, the first manifestation of bronchiolitis is the development of apnea.  It may also suffer from tachycardia, mild to moderate hypoxemia, and tachypnea.

 I agree that laryngotracheitis is a severe respiratory tract disease in young children between the age of six months to six years, with the second year being the one at the highest risk. This illness is caused by parainfluenza virus type one to three. The illness is a result of infection of the middle and upper respiratory tract and is presented by edema and inflammation of the trachea, bronchi, and larynx. The symptoms of the disease include respiratory distress, inspiratory stridor, bark-like cough, and hoarseness (Zaoutis, 2007). Severe epiglottitis is presented by dysphonia, fever, and dysphagia, and advances to upper respiratory hindrance. Children infected with the disease show signs of dysphagia and fever, anxiety, restlessness, and advancing irritability (Zaoutis, 2007).

Gretchen Kaune's response essay

I agree with Gretchen Kaune that a professional should know the difference between the different respiratory infections to offer the correct treatment. This is because different infections present differently. Croup infection affects the larynx to the exclusion of the diaphragm and is caused by viruses in particular parainfluenza. The signs of the disease in children are marked leukocytosis, swelling of the pharynx and epiglottis, acute respiratory distress, and pooling of secretions. Bronchiolitis is a viral disease that presents in the form of a wheeze accompanied by respiratory distress and cough. The disease affects the lower respiratory tract and happens in the first two years. Young children and infants are at high risk of dying from the disease (Miller & Eriksson, 2009).  Epiglottitis is caused by H. influenza type B (HIB). It is a severe swelling of the aryepiglottic folds, the epiglottis, and the supraglottic structure. The disease causes agitation distinguished by restlessness and irritability, and it develops a ‘barking’ cough in most cases, the child wants to sit upright and lean forward instead of lying down. Due to obstruction retractions of the substernal and supra clavicular area may be witnessed. Professionals are warned not to use direct check-ups of the upper airway in young children presenting signs of epiglottitis as this may cause total obstruction of the airway and result in respiratory arrest (Dickey, Greenberg, & Bowden, 2006).