Case Study 3 Asthma - CASE STUDY 3 Chapter 18 Asthma A 20...

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CASE STUDY 3: Chapter 18, Asthma A 20 year old female athlete has the following history: On occasions throughout school she developed an increase in shortness of breath and a cough. At the end of a long run of activity (soccer), she noted an increase in cough and a slight wheeze. These episodic attacks responded to inhaled bronchodilator therapy, and the frequency and severity of these attacks were successfully suppressed. Recently, she complained of deterioration in her asthma despite medications. Her parents persuaded her to withdraw from activity because “it makes you feel worse and could be dangerous.” With such ongoing symptoms she withdrew from soccer for one year. Now, she wants to start playing again for her team but doesn’t know how to get started. She has been moderately active all the while but hasn’t played soccer in the last year. She does state that asthma attacks do occur with activity, specifically in the cold. She reports no other symptoms. Medical History: Chief Complaint: “I want to start playing but don’t know how, am scared that my asthma will not allow me to” RHR: 75 bpm RBP: 128/72 Weight: 140 lbs Height: 68 inches BMI: 21.3 Cholesterol: Normal Pulmonary Function Tests: FVC pre-exercise: 3.09 L; FEV1 pre-exercise: 3.54 L; FEV1/FVC – 95% of predicted Residual volume: 130% of predicted Graded Exercise Test: VO 2max : 26 ml/kg/min (65% of predicted) FVC: 15 min postexercise: 2.87 L; 30 min postexercise: 2.20 L; 60 min post-exercise: 2.24 L FEV1: 15 min postexercise: 3.32 L; 30 minute postexercise: 2.97 L; 60 min post-exercise: 3.03 L EKG normal, no evidence of cardiovascular disease MHR: 200 bpm Maximum minute ventilation: 50 L/min (45% of predicted) RPE: 18 on a 6-20 point scale
NAME: Jesse Joel Deluna Case Study 3: Answer the following:

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