asthma and influenza

Professor student discussion
I need to elaborate just a little more, there’s only three questions below you will see each question in my response.

Is any other testing necessary today?

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Pulmonary function test is an estimation of airflow. PFT also diagnosis and Can also monitor management of disease. Considering that Michelle has a history of asthma, complaining of shortness of breath with a decreased O2 saturation a PFT would be ideal and her situation.

When would you send this lady to the ER? What factors will you take into consideration here?

Hospitalization ought to be considered for all patients whose side effects don’t improve or transmit with beginning forceful treatment of the intense worsening. So for Michelle if there is a decrease in oxygen saturation an increase in shortness of breath, she is unable to speak, and wheezing or diminished breath sounds I would call for transport to the hospital (Buttaro, 2017). Peak flow meters can also determine the severity of the disease; by using the guidelines that are provided by the NHLBIA 2012 diagnosis can be met. An incomplete response of FEV1 or PEF of 40%-69% is categorized, as moderate to severe symptoms and this person should be admitted to the hospital. And if the response is poor with a FEV1 or PEF below 40% this person should be admitted to the intensive care unit (GINA, 2015).

What exactly will you address at her follow up visiting?

Follow up with Symptoms of flu

Review Hand washing Technique

Identify any changes with asthma exacerbation/ Review medication

Review any possible medication side effects

Review daily monitoring sheet of pulmonary function

Review patient’s knowledge of disease

Referral to allergist/pulmonologist

References

Buttaro, T. M., amp, Trybulski, J., amp, Polgar-Bailey, P., amp, Sandberg-Cook, J. Primary Care: A Collaborative Practice. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780323355018/

Global Initiative for Asthma (GINA). Pocket guide for asthma management and prevention: a pocket guide for physicians and nurses. [Available at] www.ginasthma.org; 2015 [

National Asthma Education and Prevention Program (NAEPP). (2012). The Expert Panel Report 3: Guidelines for the diagnosis and management of asthma: National Heart, Lung, and Blood Institute, National Institutes of Health. Retrieved from https://www.nhlbi.nih.gov/health-topics/guidelines-for-diagnosis-management-of-asthma

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