Acute Asthma: Pathogenesis, Positioning, and Medication

Short Answer Exam based on one case study of
acute life-threatening and or traumatic complex
health condition

Table of Contents
QUESTION 1...................................................................................................................................3
Explain pathogenesis causing clinical manifestations with which Peter presents......................3
QUESTION 2...................................................................................................................................3
How does positioning patient with acute asthma in a high Fowlers position assist to alleviate
respiratory distress?.....................................................................................................................3
Selection of Oxygen delivery device and choosing reason and how it helps and assist Peter....4
QUESTION 3...................................................................................................................................5
Information related with medication...........................................................................................5
REFERENCES................................................................................................................................7

QUESTION 1
Explain pathogenesis causing clinical manifestations with which Peter presents.
Asthma refers to chronic inflammatory airway disease which manifests itself and has
cough, wheezing, chest, tightness and Dyspnea. These are some symptoms associated with
obstruction of the airway. They generally occur spontaneously during the early morning or late
night hours. The involvement of Limited airflow creates asthma. This is a reversible disease that
indicates structural changes in a permanent manner in Airway and includes subbasement
membrane fibrosis new vessel formation smooth muscle Hyperplasia and glandular Hyperplasia.
These are collectively referred to as disease severity, lack of reversibility, asthma pathogenesis
progression. Moreover, asthma is associated with a hard decline in lung function which creates
breathing problems for Peter. There is a chronic obstructive lung disease that creates permanent
changes in the structure of the airway inpatient. In asthma inflammation have a critical role in
pathophysiology, this information involves multiple mediators and different cell types in the
airway which have a different feature of the disease is like airflow in limitation, bronchial
inflammation etc. that creates recurrent episode of wheezing, the cough along with shortness of
breath. Airway inflammation during asthma depends upon the duration of disease and
persistence of disease. It is observed that there is structural cells and profiles are quite consistent
during asthma. During asthma, there are different type of complication which includes symptom
& sign which interfere during different activities like sleep, work and many more. It can be
observed that there is a high number of chances from work and school when there is asthma
inpatient. It needs some prevention which can help to provide better health to an asthma patient
in which there is a need to follow action plan of asthma which is provided by a health
professional. There is a need to get vaccinated for pneumonia and influenza. There is a need to
identify and avoid asthma triggers that can create a high health risk. There is also a need for
monitoring breath to lead to consciousness regarding health (Gonzalez-Barcala, (2018)).
QUESTION 2
How does positioning a patient with acute asthma in a high Fowlers position assist to alleviate
respiratory distress?
High Fowler's position refers to the upright medical position in which patients it is an
elevated head and their upper body raised at some angle that is between 60 degrees to 90 degrees