Reference no: EM133848812

Case Scenario: Luis is a 12-year-old male who lives in a dilapidated, older apartment complex. He has had a chronic cough since moving into that apartment building 8 weeks ago. His asthma has worsened despite using his albuterol inhaler more than usual (3 times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and chest tightness, and a dry cough at night and early morning hours (waking him up 2-3 times a week). Luis has had to miss school and is too tired to play with his friends.
• What diagnostic tests might you perform and why?
• What is the gold standard for diagnosing asthma?
• How would you manage his asthma symptoms?
• What type of education should you give parents and Luis?
• What is the proper way to use a metered dose inhaler?

Question 1: Diagnostic Tests.
• The test measures lung function precisely to both diagnose and verify asthma cases.
• Other potential lung causes of persistent cough will be ruled out through the diagnostic procedure of chest X-ray testing.
• The testing determines the presence of any environmental causes that might trigger allergies.
• PEF monitoring provides assessments about asthma control and variability as described by Al-Moamary et al. (2021).
Question 2: Gold Standard for Diagnosing Asthma.
• The diagnosis of asthma uses spirometry testing with bronchodilator response as its standard method.
Question 3: Management of Asthma Symptoms. Get quick and affordable assignment help now!
• Controller medications: Increase inhaled corticosteroid dosages or including long-acting beta-agonist (LABA) medications in the care plan (Cloutier et al., 2021).
• Rescue medications: When symptoms rapidly appear, you should maintain your use of an albuterol inhaler at regular intervals.
• Environmental control: Discover and minimize asthma triggers, including mold as well as dust mites in the environment.
• Action plan: Develop a written asthma action plan for Luis and his parents.
Question 4: Education
• Luis requires the following education together with his parents about his condition.
• Teach the correct technique for using a metered-dose inhaler (MDI) with a spacer.
• Help Luis and his parent's understand effective methods to minimize contact with asthma precipitating factors.
• The patient and parents need training to detect asthma attack warning signs in their early stages.
• The healthcare professional should schedule periodic appointments to track asthma management results (Martin et al., 2022).
Question 5: The correct methodology to administer a Metered-Dose Inhaler (MDI)
Shake the inhaler well, attach the spacer if available, and exhale fully. Then, insert the mouthpiece into the mouth before pressing lips tightly around it. To get the medicine from the inhaler, press the button while inhaling long and deep breaths. The breath-holding period begins once complete exhalation happens, and it extends for 10 seconds before the slow exhale. Lastly, wait 30-60 seconds after each puff before using additional medication.