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Explain the pathogeneses causing the clinical manifestation

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Alex 19 year old male was admitted to ED at 2000hrs with severe breathlessness. History of Asthma diagnosed at 3years.

Sign and symptoms
Severe dyspnoea inability to speak sentence in one breath. RR 33 breaths/min, SPO290%on room air, BP 150/85 mmHg, HR 130 beats/min. On Auscultation of lungs identified diminished breath sound and widespread wheeze.

Chest X-ray clear and hyper inflated lung field.

ABG
pH 7.35, PaO2 60mmHg, PaCO2 50mmHg, HCO3 25 Eg/L, Lactate 1 , Sa02 90%

A diagnose of Acute severe Asthma was made.

Q1. Explain the pathogeneses causing the clinical manifestation with which Alex presented with 600 Words..

Q2. Discuss two high priority nursing strategies to manage Alex and provide rationale for these strategies .250 words

Q3. Three drugs that were given, continuous nebulised Salbutamol, Ipratropium bromide 4/24 and IV Hydrocortisone100mg 6/24.(300 words)

A) Discuss the mechanism of action of these drugs and relate to the underlying pathogenesis of Acute Severe Asthma.

B) Describe the nursing implication (monitoring for and responding to adverse effect, and evaluating therapeutic effect) when administering these drugs to patient with Acute Severe Asthma.

APA Style reference, 6 academic references can include journal article, text book, and government website all within 5years from 2013 onwards.

Verified Expert

This assignment is based on a case study of a patient Alex 19 years old male who is suffering from acute severe asthma. There are many clinical observations provided which indicate that patient has acute attack of dyspnoea and for its management many diagnostic and therapeutic measures have been discussed, to be taken care off, at the time of hospitalization. Also, this paper explains about pathoogenesis of acute severe asthma, its medication strategy, follow-up procedures, drugs associated adverse effects and their prevention. Alex needed not only care in hospital but after discharge care and regular recalls for appointments with the doctor, was also discussed.

Reference no: EM132127410

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Reviews

urv2127410

10/18/2018 12:42:43 AM

Perfect work. Very quick, and most important within 15hrs. Covered everything what was asked. All the requirements are followed, Thanks for the accurate solution. I appreciate the efforts of the expert. thanks Thanks for your solution, you have done a good job.

len2127410

9/30/2018 11:57:45 PM

APA Style reference, 6 academic references can include journal article, text book, and government website all within 5years from 2013 onwards. APPROPRAITE RESOURSES MUST BE SELECTED AND ACCURATELY USED. THE CITED REFERENCE MUST SUPPORT YOU DISCUSION OR EXPLAINATION.

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