Asthma Respiratory Issues

Question: Write about theAsthma for Respiratory Issues. Answer: The boy called Geronimo has been reported to be suffering from exacerbation of asthma. This mainly happens when the bronchioles of the respiratory tract becomes narrower due to contraction of the muscles in this region. The respiratory system is found to swell up as a reason of this, and makes the patient face respiratory issues. The case study has mentioned a number of factors that can be considered as some of the factors which half caused in the occurrence of asthma in the little boy. Firstly the boys mother complained that he had faced severe respiratory infection a few days back. Therefore respiratory tract infection can be related with the occurrence of the asthma. This type of infection often accompanies the attack of different microorganisms (Hockenberry, Wilson Rodgers, 2016). These micro-organisms are mainly bacteria as well as virus and have the capability to cause flu, common cold, influenza and others. Some of the germs affects the lungs resulting in narrowing of the respiratory tract and increases sensitivity in the patient. Moreover, Geronimos playing of soccer might have been another contributing factor that have resulted in the occurrences of symptoms like tightness and coughing. This may be because it has been found many researchers that often a patient who are vulnerable to asthma may develop its symptoms when they get exposed to exercise as well different types of workouts. Hence in the case of the patients, asthma that may be induced by exercises has been one of the contributing factors (Zone Guide, 2017). The occurrence of the thunderstorms might be another factor that resulted in asthmatic attacks die to the presence of dust mites during the storm which had affected him Four different types of asthma are mainly present which are known as the severe persistent asthma, mild persistent asthma, moderate persistent asthma as well as intermittent asthma. It is extremely important to relate the symptoms of the patient to the symptoms that are shown by asthma patients of different categories in order to understand his kind of asthma (Engelke, Swanson Guttu, 2014). Before the intervention was applied, the patients heart beat was 26 beats per beat but after the intervention, it became 21 beats per minute. Before interventions, the value of FEV was 1.64 L which mainly accounts for about 55% of the normal value that is predicted. After proper interventions it was found that the FEV value had increased to 2.2 L which accounts for about 74% of the predicted value. By following the pattern of changes critically, it would help the healthcare professional to understand what kind of asthma affects him. From the above analysis, it can be suggested that the patient is suffering from moderate persistent asthma. It has been already established by researchers that for an asthma patient having his FEV value to be such that it remains within the 60% to 80% of the predicted normal value can be categorised in moderate persistent asthma category. Here also the patient was seen to be showing a FEV value that accounted for about 74% which is between the 60 to 80% interval. Therefore one can easily reach a conclusion. Moreover, it was also seen that the boy had not taken his medication properly and in this type of asthma, the individual needs to take regular courses of medicines which may otherwise cause harm. So this also matched with the scenario. Again this type of asthma also restricts different activities of the patients which had been seen in case of the patient as well when he tried to play soccer (Kenyon et al., 2014). Healthcare professions usually advise patients to perform a spirometry test in order to understand their breathing patterns. This test usually helps the doctor in making an assessment that how much volume of air is entering in the lungs and also assess the flow of the air when the individual is inhaling or exhaling (Ciluffo et al., 2016). Basically, this test is conducted by doctors to make sure whether any lung disorders are present or not. In a spirometry test, usually two components are found to be important. The first one is the Forced vital capacity. The second one is the forced expiratory volume. The case has mentioned of the second component. Forced expiratory volume can be defined as the total volume of air that an individual can blow out after a full respiration in one second. In the case, one can notice that spiromtery was conducted for the patient. It was found that initially he has a FEV of about 1.67 L accounting for about 55% of the total volume. This FEV was again monitored after the intervention was provided. It showed that it has increased to 2.22 L which totals to about 74% of the normal predicted value. Thus with the help of the test one could assess the development of the patient from the crisis condition. The doctor mainly advises the patient to conduct an arterial blood gas test. This mainly helps in three important domains. The first is that it helps to understand whether the lungs are functioning properly. Secondly it helps to know whether acidity is present or not in the blood. It also helps to understand whether carbon dioxide is properly released from the blood or not (Cameron, Jenkies Becker, 2016). It also gives doctor the information that whether the patient needs extra oxygen so that they overcome difficulty in breathing and that whether correct amount of blood is entering in lungs. Different types of medication need to be provided to the patients depending upon the urgency of the patient and the symptom that the disorder is possessing. The medications that are provided to give quick relief to the patients in cases of urgency are called rescue medicines. They are mainly given either intravenously or as oral corticosteroids. Both short acting and long acting beta agonists are also provided. The former includes medicines like albuterol or ipratropium. They mainly provide short term relief along with asthma prevention. The later is also called LABAS. Besides inhaled corticosteroids, theophylline and leukotriene modifiers are also given because they not only control the symptoms of asthma but also prevent attacks of asthma. Bronchodilators are also provided to give relief from asthma as they are helpful in relaxing the muscle tightness that occurs in the tract during the attacks. The tracts open up and help the patient to breathe properly (Sweet et al., 2014). Besid es, there are also anti-inflammatory drugs and also steroids that help in reducing the mucous production that occurs in the tract and also reduces the swelling of the tracts (Kuethe et al., 2013). Asthma inhalers are also used by patients that direct the drug into the tract effectively for quick action. However many patients are not able to use them and hence asthma nebulisers are provided to them. Medications called allergy shots (immuniotherapy), omalizumab (Xolair) as well as others are used in cases when asthma attacks occur due to the presence of the allergens. They mainly work by reducing two sensitivity of the body towards these allergens. References: Cameron, J. R., Jenkins, M., Becker, E. (2016). Agreement between health care provider classification and clinical data for asthma severity and control in underserved children.Respiratory Care,61(10). Cilluffo, G., Fasola, S., Malizia, V., Ferrante, G., Montalbano, L., Montalbano, M., ... La Grutta, S. (2016). 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