Respiratory case studies asthma
For example, in bakeries, the use of lids on mixing tubs, using divider oils to reduce dust, and avoiding dry sweeping can limit exposure the implicated agent Baatjies et al. First and foremost, encourage AT to stay home and avoid contact with others as much as possible, unless she needs medical care.
These resources are not always available. Primary prevention: exposure reduction, skin exposure and respiratory protection.
Concurrently, other programmes were implemented which support practice-based care. Accessed November 18, Accessed November 17, In bakeries, in addition to flour, there are various other high molecular weight agents, such as added enzymes, which can cause sensitization as well.
Chronic asthma patient case study
She was suffering with persistent wheezing and dyspnea after a severe asthma attack that had taken place 5 months previously. Dose-response curves between exposure and risk of sensitization have been established in bakery settings, with atopic workers being at higher risk of sensitization even at lower levels of exposure compared to non-atopic workers. As well as ensuring that healthcare professionals have appropriate skills, this should include training for reception staff so that they know what action to take if a patient telephones to say they are having an asthma attack. While vitamin D insufficiency has been associated with adverse outcomes in asthma, T's vitamin D level was tested and found to be sufficient. Secondary prevention measures early detection include instituting medical surveillance programs for at-risk workers, ensuring health care providers have adequate knowledge of occupational asthma, and educating workers through workplace programs. Encourage HW to include his wife, other family members, or caregivers to help him manage his condition and troubleshoot with him if questions arise. These elements, including regular medical review, were delivered over three visits. IgE antibody production via conjugation with a hapten Incorrect! During this time, he has also been waking up with asthma symptoms approximately twice a month, and has had three unscheduled asthma visits for mild flares. She was hospitalized for evaluation for anti-IgE therapy.
Agents causing occupational asthma. Omalizumab was not added partly for this reason, and also because of his low IgE level.
Respiratory case studies asthma
However, he remained symptomatic and continued to use his rescue inhaler 3 times per week. COPD national action plan. First and foremost, encourage AT to stay home and avoid contact with others as much as possible, unless she needs medical care. What formulations of salbutamol and inhaled corticosteroids are available and what are the advantages and disadvantages? Cold air and exercise. Several clinical trials with long-term follow-up have now demonstrated its safety and ability to improve quality of life in patients with severe asthma, such as Mr. The initial presentation some weeks ago was during an exacerbation of asthma, which may not be the best time to educate a patient. She reports no significant medical history and says she takes no chronic medications other than occasional nonprescription medicines for mild conditions. Uncontrolled symptoms that linger despite aggressive therapy warrant evaluation to rule out other etiologies, such as a carcinoid tumor, before selecting new treatment options. However, he does recall using an inhaler as a child for asthma but was told that he had outgrown the condition. Monitor the patient's asthma in future work locations to ensure safe placement Incorrect! T has refractory asthma.
Symptoms are cough, wheeze, a feeling of tightness in the chest and shortness of breath. The risk factors for developing asthma are as follows: Atopy in a patient, which refers to a group of disorders which include asthma, eczema and hay fever.
The plan should include details on the treatment to be taken when asthma is well controlled, and how to adjust it when the symptoms are mild, moderate or severe.
Respiratory case studies examples
The American Thoracic Society improves global health by advancing research, patient care, and public health in pulmonary disease, critical illness, and sleep disorders. T has asthma that is not well controlled. However, he remained symptomatic and continued to use his rescue inhaler 3 times per week. This medication is an effective bronchodilator but will ultimately not address more moderate-to-severe asthma symptoms and treat the underlying disease. These agents can cause increases in blood pressure and may exacerbate symptoms of hyperthyroidism. T underwent bronchial thermoplasty for his asthma. In this case, the patient expressed a strong desire to not add any additional medications to his asthma regimen, which explained the rationale for choosing to treat with bronchial thermoplasty. Patient preference as well as clinical features such as whether she under- or over-perceives her symptoms should be taken into account when deciding whether the action plan is peak flow or symptom-driven. Low molecular weight agents, on the other hand, likely act as haptens and bind with proteins to form functional antigens. Secondary prevention measures early detection include instituting medical surveillance programs for at-risk workers, ensuring health care providers have adequate knowledge of occupational asthma, and educating workers through workplace programs. Information from the national patient organisation was provided to reinforce the messages. They can affect the production of cytokines, leukotrienes, and prostaglandins. A diagnosis of mild asthma is made. A number of studies have demonstrated the challenges for primary care physicians in providing ongoing support for people with asthma.
based on 38 review