Pulmonary Function: D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose

Pulmonary Function:
D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

Case Study Questions

1. According to the case study information, how would you classify the severity of D.R. asthma attack?
2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

 Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.  

Grading Rubric 

Your assignment will be graded according to the grading rubric.

Discussion RubricCriteriaRatingsPoints

Identification of Main Issues, Problems, and Concepts

Distinguished – 5 points
Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts.

Excellent – 4 points
Identifies and demonstrates an accomplished understanding of most issues, problems, and concepts.

Fair – 1-3 points
Identifies and demonstrates an acceptable understanding of most issues, problems, and concepts.

Poor – 0 points
Identifies and demonstrates an unacceptable understanding of most issues, problems, and concepts. Or nothing was posted.

5 points

Use of Citations, Writing Mechanics, and APA Formatting Guidelines

Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. Or nothing was posted.

3 pointsResponse to Posts of Peers

Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.

Fair – 1 point
Student constructively responded to one other post and either extended, expanded, or provided a rebuttal.

Poor – 0 points
Student provided no response to a peer's post.