Follow the CPG guidelines attached when completing the assignment and USE THE TEMPLATE PROVIDED.? Complete the protocol outline template Down
Follow the CPG guidelines attached when completing the assignment and USE THE TEMPLATE PROVIDED.
- Complete the protocol outline template Download protocol outline templateOpen this document with ReadSpeaker docReaderto develop a protocol for asthma treatment. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric.
- Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources:
- Asthma Clinical Practice Guideline
- Course Textbook (for individual medication information)
- Journal Articles from within the last five years as defined by program expectationsLinks to an external site..
- Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
- No more than one short direct quote (15 words or less) may be used in this assignment.
- First person should not be used within this assignment.
- At least three scholarly references must be used for this assignment.
Include the following sections (detailed criteria listed below and in the grading rubric).
Pharmacological Treatment
- Correctly complete all blanks for the preferred and alternative medication for each step of therapy noted in the CPG.
- List medications in order according to the CPG.
- List generic medication names for each category.
- Provide an in-text citation under the completed table.
Treatment Differences in Adults and Children
- Correctly list the first line of initial pharmacologic treatment in step one; track one for asthmatic adults. (7a on the form)
- Correctly list the first line of initial pharmacologic treatment in step one, track one for asthmatic children ages 6-11. (7b on the form)
- Correctly list drug dose, route, frequency, instructions, precautions, drug cost, and education for adult and pediatric clients.
- Provide in-text citations under the information for adults and pediatric clients.
Treatment Monitoring
- List the physical assessments required for monitoring the first-line medications prescribed to adults for track one, step one.
- List the pulmonary function tests required for monitoring the first-line medications prescribed to adults for track one, step one.
- List the laboratory tests required for monitoring the first-line medications prescribed to adults for track one, step one.
- Provide an in-text citation under the treatment monitoring section.
Treatment Failure
- Describe how you will know that treatment is not working or needs to progress.
- Describe the next step if treatment is not working or needs to progress.
- Describe the indicators that would demonstrate that the client requires a higher level of care.
- Provide an in-text citation under the treatment failure section.
NR565 ASTHMA PROTOCOL: INITIAL VISIT
Name:
General Instructions:
Carefully read the assignment guidelines and rubric and complete each section of the asthma protocol below.
1. RATIONALE
0. This protocol will assist in the differentiation between treatment needs for clients with asthma based on age and symptom frequency and severity, including the process for identification of clients in need of referral to pulmonology to improve asthma control. The design of the protocol for asthma encompasses these principles.
1. SYMPTOMS
1. ASTHMA
0. History of respiratory symptoms that vary over time with varying intensity, including:
0. Wheezing
0. Shortness of breath
0. Chest tightness
0. Cough
0. Triggers for exacerbation can include:
1. Exercise
1. Allergens
1. Season changes
1. Laughter
1. Respiratory illness
0. Presence of asthma phenotypes
0. Client responses on the Asthma Control Test (ACT) or the Asthma Control Questionnaire (ACQ)
0. Reduced lung function and responsiveness with medications
4. Reduced expiratory airflow (forced expiratory volume in one second, a.k.a. FEV1)
4. Variable peak expiratory flow (PEF)
1. PHYSICAL EXAM
2. Perform the following examinations:
0. Vital Signs (blood pressure, pulse, oxygenation, respiratory rate)
0. Auscultation for wheezing
0. Identify increased work of breathing
0. Identify retractions
0. Cardiac assessment
0. Lower extremities for edema and pulses
0. Neurological
2. Consult supervising physician if findings of:
1. Respiratory distress
1. LAB TESTS
3. Depending on severity, can include:
0. Arterial or venous blood gas
0. ph
0. O2
0. CO2
0. Bicarbonate
0. Base excess
0. CBC
1. Hemoglobin and hematocrit
1. WBC and eosinophils
0. Total or specific IgE levels
0. Consult supervising physician if:
3. Abnormal blood gas results or severe anemia
1. PULMONARY FUNCTION TESTS
4. Forced expiratory volume in one second (a.k.a. FEV1)
4. Peak expiratory flow (PEF)
1. PHARMACOLOGICAL TREATMENT
Asthma Treatment Algorithm:
To successfully treat asthma, you must first classify it and then be familiar with step therapy. For this assignment and in this course, we will focus on patients 12 years and older. Complete the blanks in the following table to create an algorithm for asthma care using the GINA guidelines linked in the assignment instructions.
|
What is a “reliever”? |
Click or tap here to enter text. | ||||
|
What is a “controller”? |
Click or tap here to enter text. | ||||
|
Step |
Asthma Classification |
Asthma symptoms and frequency as noted in textbook |
Controller and Preferred Reliever: (Drug Class and frequency if provided from GINA guidelines) |
Controller and Alternative Reliever: (Drug Class and frequency if provided from GINA guidelines) |
|
|
Step 1 |
Click or tap here to enter text. |
Daytime symptoms |
Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
|
|
Nighttime awakenings |
Click or tap here to enter text. | ||||
|
Step 2 |
Click or tap here to enter text. |
Daytime symptoms |
Click or tap here to enter text. |
Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
|
|
Nighttime awakenings |
Click or tap here to enter text. | ||||
|
Step 3 |
Click or tap here to enter text. |
Daytime symptoms |
Click or tap here to enter text. |
Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
|
Nighttime awakenings |
Click or tap here to enter text. | ||||
|
Step 4-5 |
Click or tap here to enter text. |
Daytime symptoms |
Click or tap here to enter text. |
Step 4: Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. |
|
Nighttime awakenings |
Click or tap here to enter text. |
Step 5: Drug class: Click or tap here to enter text. Example Drug: Click or tap here to enter text. Frequency: Click or tap here to enter text. Refer for: Click or tap here to enter text. |
No change. |
Citation (Provide (Author, year) and not full reference): Click or tap here to enter text.
1. TREATMENT DIFFERENCES IN ADULTS AND CHILDREN
6. 1st line initial pharmacological treatment in step one, track one asthmatic adult clients and no compelling contraindications/comorbidities are identified: (Choose a generic drug from the drug class you would like to prescribe as initial asthma treatment for adults).
0. Drug: Click or tap here to enter text.
0. Dose: Click or tap here to enter text.
0. Route: Click or tap here to enter text.
0. Frequency: Click or tap here to enter text.
0. Instructions to provide patient: Click or tap here to enter text.
0. Caution/Precautions: Click or tap here to enter text.
0. Using a source such as GoodRX, what is an estimated cost of this drug for a 30-day supply? Click or tap here to enter text.
0. What client education is needed for this drug?
Citation (Provide (Author, year) and not full reference): SCHOOL BOOK
6. 1st line initial pharmacological treatment in step one, track one pediatric clients (ages 6-11) and no compelling contraindications/comorbidities are identified: (Ch
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
