Asthma and medicine management – nursing assignment tutor

Asthma and medicine managementA: In reference to the given scenario critically discuss the relevant pathophysiologyof acute asthmaPart A: topics to read and critically discuss:1) What is asthma?2) Incidence of asthma and implications of this3) What are the common signs and symptoms of asthma?4) Pathophysiology of asthma: relate this to your scenario5) Pathophysiology of acute exacerbation of asthma: relate this to your scenario6) How is an acute exacerbation of asthma defined or diagnosed: BTS guidelines?7) Treatment guidelines for acute exacerbation of asthma: BTS guidelines: relate this to thescenario8) Triggers for asthma: relate this to your scenario and education and information for thepatient in terms of management of asthma8) You must relate your discussion to the scenario where appropriatePart B: topics to read and critically discuss:B: In reference to the given scenario critically discuss the related pharmacology andmedicines management1) Pharmacokinetics and pharmacodynamics of the 3 identified drugs: what is the action ofthese drugs, how do they work, what are the side effects, how are they absorbed,metabolised, distributed and excreted?2) Consider some of the points from the introduction to pharmacology session, i.e. specificityand selectivity of a drug (beta2 agonists) and the implications of this for the patient andnurse in clinical practice.3) Consider the onset of action and duration of action of the drugs identified: half-life4) Why are steroids recommended in all acute exacerbations of asthma: BTS guidelines?5) Consider how the pharmacology of the 3 drugs impacts on the nursing care of acuteasthma and relate this to the scenario6) Adverse effects of the medications and relate this to the action of the drug and how wecare for the patient in practice7) 6 Rs of medicines management: importance of these: WHY? And relate to the scenarioand administration of medication to this patient: Nursing and Midwifery council (NMC)Standards for Medicines Management 2010)8) Care and management of nebulisers in practice (equipment and infection control)9) Patient education regarding nebulisers and specific drug therapy for this patient10) Education and advice regarding asthma management (particularly important due toproblems highlighted with concordance and asthma): relate this to the scenario11) Remember that oxygen is also a drug and this is mentioned in your scenario (what is theimportance of prescribing nebulisers via oxygen driven nebuliser?): British thoracic societyguidelines12) Consider any relevant legal, professional and ethical points related to the medication andthe scenario: NMC Standards for Medicines Management (2010): use the PowerPoint forguidance on these issues.Scenario
Robert is 32 years old and has been asthmatic since the age of 7. His asthma hasbeen well managed for the past 3 years with the occasional use of salbutamol(Albuterol) inhaler: Salamol: 2 puffs (100mcg/puff). He has not had an asthmaattack for a number of years.Robert is currently in the 3rdyear of his environmental science degree and findinglife generally stressful at the moment. For the past month he has been using hisSalamol inhaler: 2 puffs (100mcg/puff) more frequently: up to three times a dayHe has been admitted via the emergency department to a medical ward followingtreatment for an acute exacerbation of asthma. He is currently stable andprescribed the following medications:Salbutamol (Steri-neb) 5mg four times a day, via oxygen driven nebuliserIpratropium bromide (Atrovent) 0.5mg four times a day, via oxygen driven nebuliserPrednisolone 30mg, once a day, orally for 5 daysHis current observations are:Sa02: 97% on 35% humidified oxygenPulse: 101 bpmBlood pressure: 143/80mmHgRR: 28 breaths per minuteTemperature: 37.2°C
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