Respiratory CASE STUDY.docx - CASE STUDY Asthma Patient...

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CASE STUDY: Asthma Patient Profile: Miss Winters, age 25, comes to the emergency department with severe wheezing, dyspnea, and anxiety. She was in the ED only 6 hours ago with an acute asthma attack, which resolved with nebulized albuteral treatments. Subjective Data: -Admits to use of albuterol inhaler several times weekly for the last few months -Asthma symptoms occasionally awaken her at night (about 3 times a week), and she has cancelled several outings with her family due to her symptoms -Can now only speak in one to three word sentences -Is allergic to cigarette smoke -Began to experience increased shortness of breath and chest tightness when she returned home -Used albuterol inhaler repeatedly at home without relief -History of pruritic skin lesions that have come and gone since childhood. Objective Data: Physical Examination: -Using accessory muscles to breath -Audible inspiratory and expiratory wheezing to auscultation with no air movement in lower lobes of l l ungs -HR = 126/min; Resp = 40/min
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