activation and IgE is released. IgE fixes to mast cells and eosinophils. Eosinophils create injury to the tissues which influences increased bronchial hyperresponsiveness. The cytokines that are
4 ASTHMA released are also responsible for causing airway scarring, exaggerated inflammatory response, bronchoconstriction, airway remodeling which all encourage further adaptive and innate immune responses. (Brashers & Huether, 2014). c. Describe the pathologic mechanism that is responsible for this patient’s wheezing. The patient’s wheezing could be from the narrowing or obstruction of her airways caused by bronchoconstriction, mucosal edema, or an airway obstruction. (Brashers & Huether, 2014). d. What might you expect the results of her pulmonary function tests to be? Why? The patient, upon examination is mildly dyspneic, has end-expiratory wheezing, and her respiratory rate is 20. Her symptoms are occurring intermittently, becoming more frequent in the past 2-3 months. In between her exacerbations her pulmonary function test may be normal, however during an attack her expiratory airflow and rate may be decreased causing an abnormal pulmonary function test. (Brashers & Huether, 2014). 5.For what actual or potential complications related to the diagnosis in question 1 does she need to be monitored? You may simply list your answer(s) below using a bullet point format. This does not have to be in a complete sentence.
- Fall '15
- Nursing, bullet point format