patient is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be prescribed for initial treatment? ipratropium salmeterol albuterol fluticasone
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This means the patient needs immediate relief from their symptoms. The medications listed are all used to treat asthma, but they work in different ways and are used for different purposes. Ipratropium is a bronchodilator that is used to prevent bronchospasm, or Show more…
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Adi S.
emergency room nurse is caring for a client who has a respiratory rate of 6/min. Which of the following medications does the nurse anticipate administering? 1.25 Points Naloxone Protamine Epinephrine Flumazenil
Aparna S.
Twenty-one-year-old Lisa Long has been suffering from asthma and is now experiencing an asthma attack while taking an afternoon walk with her sister. It is a cold, windy, early spring weekend. She complains of acute shortness of breath and has audible wheezing, episodic cough, and chest tightness with itchy red watery eyes and a stuffy, runny, itchy nose. These symptoms become worse within 5 minutes. Her sister called 000 and paramedics promptly attended to Lisa, who was fully conscious, appeared wide-eyed and frightened, and unable to breathe effectively. She was immediately transferred to the nearest hospital for full respiratory function assessment and treatment of acute asthma. A physical test reveals a heart rate (HR) of 120/min, respiratory rate (RR) of 38/min, with signs of accessory muscle use. Chest auscultation reveals decreased breath sounds bilaterally, with inspiratory and expiratory wheezes. Lisa is coughing up small amounts of thin, clear sputum and has an arterial oxygen saturation of 90%. Nebulized salbutamol, oxygen by facial mask, and systemic corticosteroid were administered. A second small-volume nebulizer treatment was ordered 20 minutes later. Chest auscultation revealed diminished wheezes; RR was 24 at this time and HR was 102. Over the next 24 hours, Lisa showed steady improvement and was discharged for follow-up with her local GP to review her asthma action plan and change any medications as needed to help prevent future exacerbations. Question 3/1. List two factors that could have triggered Lisa's acute asthma attack and explain the link between the named factors and her asthma. (4 marks) Question 3/2. Explain the pathophysiological steps leading to an acute asthma attack. In your answer, you are expected to link type 1 hypersensitivity reaction to the role of histamine in acute asthma. (4 marks) Question 3/3. Briefly explain the mechanisms of action of (i) salbutamol and (ii) corticosteroids in the treatment of acute asthma and describe their benefits in Lisa's condition. (4 marks) Question 3/4. Explain the mechanism of action of anticholinergic/anti-parasympathetic medications and their potential benefit(s) in asthma treatment. (3 marks).
Sri K.
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