An understanding of the respiratory system is a critically important component of disease diagnosis and treatment.
An understanding of the respiratory system is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that oftentimes, the respiratory system works closely with the cardiovascular system. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.
Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.
An understanding of the symptoms of alterations in the respiratory system is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.
Scenario Week 4: A 16-year-old black female presents with her mother to the emergency room with complaints of dyspnea and wheezing without relief after using her albuterol inhaler. The patient was diagnosed with COVID 6 days ago and started noticing that her breathing effort was getting harder in the last 2 days. She reports a fever of 101F originally but has not had a fever in the last 24 hours. She denies any chest pain but is having some increased dyspnea when she is walking around. The patient has a 5-year history of intermittent asthma which has been controlled with her current medication. The patient is currently using loratadine 10mg po daily, singular 10mg at bedtime, and albuterol 2 puffs via inhalation every 6 hrs. as needed. She reports that she had to use multiple doses in the last 24 hours because her symptoms were worsening. VS: BP 132/88, pulse 120, respirations 28, O2 sat 94%, and temp 99.4F. Upon exam the patient has diffuse wheezing bilaterally on expiration and minimal upon inspiration. Breath sounds are diminished bilaterally. Chest x-ray reveals hyperinflation with no infiltrates.
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