Discussion paper on Asthma

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Discussion paper

Hello follow instruction please to complete the discussion paper. Read the case study below, and then answer the following question as a discussion paper. APA format. I need at least 6 references, no older than 5 years old please.

Case Study

KH is a 16 y/o female who presents with a 3 week history of a dry cough and a 3 day history of exertional shortness of breath following a week of nasal congestion. On physical exam she is afebrile, tachypneic with O2 sat of 94%, diffuse bilateral wheezing and decreased breath sounds bilaterally. Past medical history and risk factors are: history of eczema, exposure to second hand smoke and cockroaches in her home.

Diagnosis is Asthma

Describe Asthma

Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why?

What are the standards regarding the use of antibiotics in pediatric population? a what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?

Using national guidelines and evidence-based literature develop an Asthma Action Plan for this patient.

Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not?

Which objective of the clinical findings will guide your diagnosis? Why?

When is a chest x-ray indicated in this case?

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Discussion paper Hello follow instruction please to complete the discussion paper. Read the case study below, and then answer the following question as a discussion paper. APA format. I need at least 6 references, no older than 5 years old please. Case Study KH is a 16 y/o female who presents with a 3 week history of a dry cough and a 3 day history of exertional shortness of breath following a week of nasal congestion. On physical exam she is afebrile, tachypneic with O2 sat of 94%, diffuse bilateral wheezing and decreased breath sounds bilaterally. Past medical history and risk factors are: history of eczema, exposure to second hand smoke and cockroaches in her home. Diagnosis is Asthma Describe Asthma Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population? a what assessment findings would warrant prescribing an antibiotic for Asthma symptoms? Using national guidelines and evidence-based literature develop an Asthma Action Plan for this patient. Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case? Case study Name: K H Age: 16 years Sex: F Height: 5' 5" Weight: 150 pounds (BMI 25.0) Temperature: 98.6 F (oral) Pulse: 88 bpm - regular Blood pressure: 112/82 mmHg Orthostatic blood pressure: 100/82 mmHg upon standing Respiratory rate: 26 bpm SpO2: 94% on room air Chief complaint: Cough and difficulty breathing HPI (history of present illness) Patient arrived to the clinic, report, which. She is not feeling well, she had been coughing for the last three weeks specially through the night, which has been getting worst. She also has trouble breathing when she is walking to her next class when she is in school and that symptoms is the most distressing for her. She has to stop and take a break. This has been happening for three days now and it’s made her a little scare and she doesn’t know what causing that nor been expose to any six people. She denies pain. Denies coughing sputum, blood, denies taking medications for it. The cough causing her to wake on and off in the middle of the night. Patient reported that the last few years, she had had a bad cough and shortness of breath but it got better after few days, she did not get checked. This time, it is lasting longer. I also didn’t want to stress out my parents because they have to work so much so I never told them. She reports, that her dad lost his job three years ago so he has been doing add jobs since then. We had to move to an older building and it has cockroaches in it. Also the neighbors smoke inside the building sa I always smell smoke everywhere. She has her first menarche when she was 13 years old. She reported that she is happy for the most part, she reaches that the family was financially stable Allergies No known drug allergies. PMH (previous medical history) Patient reported that the last few years, she had had a bad cough and shortness of breath but it got better after few days, she did not get checked. She had been diagnosed with eczema in the past but she has been moisturizing her skin daily and has not had any flares for several years. Normal birth. Full term. No medical problems. No major accidents or injuries. No surgeries. Last checkup one year ago. All immunizations are up to date. Medications None Family Hx Father - has eczema, otherwise healthy Mother- no medical problems No other significant family history Social Hx She lives with her mother and her father She lives at home with mother and father. She is an only child. Her father lost his stable job recently and has been working odd jobs since then to pay the bills. Her mother works at a fast food restaurant. They were also recently evicted from their home and are looking for a new place to live. She denies past or present use of alcohol, tobacco or illicit drugs. She has never been sexually active. She states that she does get sad sometimes due to her family's recent financial and living situation but she does not feel like she is depressed. She denies suicidal ideations. Physical Exam Neck - auscultate carotid arteries Click on the guide icon if you need help finding the locations to auscultate. Use the stethoscope on appropriate locations on the patient. Breast - breast exam Normal Management Plan ROS (review of systems) General/Constitutional: not feeling well, she had been coughing and shortness of breath Skin/Breast: Skin: No rashes, no bruising, no petechial. HEENT/Neck: No runny nose. No congestion. No eye or ear discharge. No conjunctivitis. No recent head trauma. Cardiovascular: Heart: No history of murmur. No history of fainting or excessive sweating. Respiratory: cough, shortness of breath, wheezing. Abdomen/Gastrointestinal: No vomiting, no diarrhea, no constipation. No melena. Genitourinary: No history of UTIs in the past. No dysuria. Musculoskeletal: No recent trauma, no weakness, no limping. Allergic/Immunologic: Up to date for all immunizations. Lymphatic/Endocrine: No history of diabetes, adrenal or thyroid dysfunction. Hematologic: No history of anemia. Neurological: No history of seizures. She states that she is generally happy. She does have some stress at home with the financial situation of the family however overall, she is happy at school and at home. Psychological: Denies anxiety, suicidal ideations.
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Explanation & Answer

Hello. I am through with the paper, I passed it through grammarly to ensure that grammar is perfect and also turnitin for plagiarism. The paper is good now. However, you can contact me in case you want anything more. pleasure working with you. goodbye

Running Head: DISCUSSION PAPER ON ASTHMA

DISCUSSION PAPER ON ASTHMA
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DISCUSSION PAPER ON ASTHMA

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Introduction
Asthma is a continuous lung illness that arouses and contracts the airways. Asthma causes
repeating durations of wheezing, chest pain, gasping and also extensive coughing. Patients of
asthma often experience the coughing during the night and early morning. Asthma is a disease
that mostly affects the airways (Negrete, et al 2015)
The use of antibiotics is not recommended in treating asthma symptoms. Research shows that
asthma symptoms can comfortably be treated with existing asthma drugs. Moreover if ...


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