Jason’s Asthma Case study Essay Example

  • Category:
    Nursing
  • Document type:
    Case Study
  • Level:
    Undergraduate
  • Page:
    3
  • Words:
    2004

9JASON’S ASTHMA CASE STUDY

Jason’s Asthma Case study

Jason’s Asthma case presentation

Asthma is an inflammatory disarray of the airways that causes breathless, conciseness of breath, chest rigidity and coughing. Our study is taken on Jason asthma case, a ten-year old boy was presented for evaluation His mother indicated that the Childs primary condition indicated that the boy had a problem with his oral communication as he had an audible wheeze and barely attired words clearly. In a period of about two days Jason suffered frequent chest pain symptoms. Jonson’s mothers described the suffered disease as a pattern of repeated running nose, followed by coughing and after some twelve hours the child was reportedly experiencing some breathing difficulties, during cold hour particularly in the evening at around nine at night (Gillespie, 2007). Initially, during such encounters Jonson’s parents gave him two puffs of salbtamol which relieved comfortably. Eventually, as time went on the problem worsened, during cold hour more especially during evenings and at night Jason experienced the same troubling incidents this time worse than ever, his mother occasionally gave him four puffs of salbtamol medication in a space of about five minutes. But this did very little in helping save Jason from breathing tightness and nose running trouble.

Jason’s asthma report history according to his mother report

His mother indicates that Jason developed asthma symptoms only sixth month of his age as he experience a repeated coughing situation. There after when he was a bout two years old, he was diagnosed of asthma viewed in his symptoms. His mother too indicated to have suffered from hay fever, while his brother had episodes of eczema. From the beginning Jason’s asthma was relieved by inhaling fluticasone propionate which Jason used 50 micrograms twice daily and further two puffs of salbtamol metered inhaler when he required to unblock his breathing system. It was a routine that Jason had to use salbtamol on a weekly basis either once or twice in each week. His mother reported that he has been admitted twice before for exacerbation of asthma, during all this incidents both of which were triggered by respiration infection. On the contrary, his mother feels that this time her son has a severe case than earlier witnessed (Gillespie, 2007).

Jason’s asthma case management

Jason was put under treatment, were he began exposed to continue oxygen supply of 6l/ minute. In addition Jason was also commenced taking a continuous nebulisation with salbtamol at 0.5%. Another 250 micrograms of ipratonium bromide was occasionally added to the salbtamol at about 20 minute intervals is first hour he was put on treatment Cantani (2008). In addition prednisone 40mg was given to be used in the next hour, after which Jason’s respiratory was examined indicating a fall to 30 breaths per minute and was able to speak or read a full sentence. A further analysis revealed that Jason could peak flow which was reported to be at 50% the total expected, while his oxygen saturation remained in a room air.

On a next drug administering nebulisation was discontinued and treatment changed to salbtamol issued at 4 puffs using the spacers at every two hours ipratroplum bromide at two puffs through the spacers every six hours, ipratroplum bromide two putts were prescribe and taken by Jason through the spacer in at an interval of six hours, while prednisolone was given daily at a quantity of 40mg orally for three days. Jason was then transferred to the paediatric ward, while here Jason is again put on treatment over a period of two days. Jason’s salbtamol is tempered as his condition is observed getting better with reports indicating his breathing and oxygen returns to normalcy, while his peak flow at 85%. At this point Jason is discharged though an increased dose of fluticasone of about 100gm twice in a day was recommended. Despite of Jason being discharged and a dose of preventive measure given, his state of action concerning asthma plans remained unsolved (Cantani, 2008).

Question 1

Patient Clinical findings

Through evaluation procedure, the results indicated Jason’s case of asthma was a complex genetic disorder. Basing on the reports reveal by her mother it is evident that the family members share the asthma symptoms. On the contrary, the search for a genetic connection reveals little about the main trigger of these troubling symptoms.
On Jason’s case, it is evident that the surrounding environment factors have much influence that is primary determinant to the asthma situation Cantani (2008). Jason and his family share the same environment, this creates the possibility that is potential toxic and can pass through the biochemical alterations to the off springs. In our case Jason’s mother and his younger brother were reported to have symptoms of asthma, this was possibly passed on from mother to her children.
For instance, maternal smoking during pregnancy is consistent risk factor that may result to childhood asthma. In the case presented by Jason use of drugs for example opioids during labor or the infant illness with treatment done in the very first week of the child life.

The asthma problems in Jason’s case might have been triggered by an indoor pollution rather than out door; Jason’s environment might be the cause reactions. For instance, catalytic converters in most automobiles exploders, if exposed to the atmosphere when inhaled
may result to system blockage. A proportioned head can be vital in assuring reprieve of strain in the region of the vagus nerve and its dorsal center and parasympathetic efferent strings as it exceed in the course of the cranium between the sequential and occipital skeleton. As the cranial meninges release their strain patterns, it’s this tightness in the chambers that results to breathing blockage. The expectation is the return of the symmetrical head at the same time, a longer, more physiologic brain cycle that release Jason from breathing blockages and nose run difficulties. After palpaction activity to the respiratory system, a severe fiscal stain in either his right or left lung region, were found. Part of this fiscal damage can be observed in tracheobronchial tree and right lung region; although results indicated that the left lung region was heavily troubled. The fascia in his throat indicated a relatively quit but rather much strain was evidently present in the back of his neck and around the nasal sinus region (Cantani, 2008).

Another case of drugs exposure during his time at home activities may trigger asthma conditions, which is considered a strong risk factor in developing these symptoms. This creates a hypersensitivity reaction for example dust mite might be part of allergic substance that Jason asthma. The respiratory complication is common cases in a populated areas and this might be part of this Jason case (Gillespie, 2007).

Considering a case presented by Jason’s mother, it was the situation evident that his asthma case might have been triggered by fiscal damage at the lung region can drag directly all the way through the neck to the sinuses leading to the nose overcrowding hence, blocking the breathing system from better performance. Since, the body is interconnected through the croniosacral fascia system Gillespie, (2007). For any child’s asthma, earaches and head pain they all have a traumatic triggered influence. It is for this cause that, any distinct damage pattern in a particular part of the patient’s body can trigger a major force on a distant area. For instance, the head strain results in earaches and headaches, while the chest strains triggers asthma. Outside the respiratory system, the fiscal web marked presence of contributory to his asthma. In closer assessment of this case, it is evident that the child was suffering a harsh craniosacral fascia stress which begun in his left lung region and drag from beginning to end of his neck into his nasal sinuses. He was then outlined to a series of one-hour treatment visits objectively using the therapy in reversion of his respiratory system back to its full healthful normalcy.

Question 2

Findings from Jason’s treatments indicate that use of anti-inflammatory medication preferable inhaled, but when the situation is beyond or severe the patient requires be hospitalized and administering to oxygen supply among other intravenous medication. For Jason’s case drugs used and inhaler provides a limited value in improving systems Cantani (2008). It is evident that most of the drugs used in the case were habit forming thus the dose was eventually increased over a certain period, this patient venerable as they depend on the drugs for a smooth respiratory activity.

In the case of Jason the first administered treatment assisted allows a lengthy brain cycle, which is opened for an estimated time with a constant supply of oxygen, for an excellent response to the excised therapy. With his history of birth trauma, the boys’ brain has for along time remained tight, with this low cycle in his whole life (Gillespie, 2007). After ten year under this troubling condition of breathing difficulties it is possible that Jason’s vagus nerves, his intellect reflected positively in the initial stages while declining in the later stage.

Jason case of breathing difficulties and troubled nose run was a persistent case, even after treatment it was evident that he was not completely healed the patient significantly showed fascia strain in both lung regions, although this was expected and it’s an occasional symptom to many patients facing this problem. The initial work done in allowing oxygen entire his lung region is well felt as the patient could feel the strain as a thirty-second pressure pain. After the tissue began to release, the patient felt some relief, a situation that indicate his breath and oxygen supply moving back to normalcy. The entire idea used in treatment asthma involved identifying fascia strain. In consider the required help to the body release the strain. This approach is particularly important for the medical giver has to work throughout the clothing over the chest and still has to access and help body, through the connection web, release the fascia down the lung tissue. After treatment session, the patient reported to have an improved as he said he could breathe more freely (Cantani , 2008).

Question 3

Cromolyn sodium medication

Cromolyn sodium is one of the other medications that prevent the release of chemicals which cause asthma related inflammation. The drug is useful for people developing asthma attacks in response to certain types of allergic exposures. For individuals who regularly take cromolyn sodium prior to exposure the drug prevent the development of asthma attack. On the contrary, the drug can not be effective once the person tested and indicates asthma attack has begun (Gillespie, 2007). In our case, Jason’s mother reportedly used the drug in treating his son this was not up to its requirement as the child had developed asthma symptoms at the age of six month immediately after delivery. The drug works as a preventive measure thus it was of no help using it after asthma symptoms were evident.

Salbtamol

Therapeutic induction of salbtamol was provided to Jason and it proved effective as it provided short-action relief, in less than 6 first hour’s bronchodilatation with a fast onset in reversing the airways obstruction. The initial stage of Jason’s treatment commenced with nebulisation with salbtamol. This was administered by inhaling fluticasone propionate which Jason used 50 micrograms twice daily and further two puffs of salbtamol metered inhaler when he required to unblock his breathing system and improving his respiratory system Cantani (2008). For a continues treatment of Jason, nebulisation drug administering was discontinued and treatment changed to salbtamol issued at 4 puffs using the spacers at every two hours ipratroplum bromide at two puffs through the spacers every six hours, ipratroplum bromide two putts were prescribe and taken by Jason through the spacer in at an interval of six hours, while prednisolone was given daily at a quantity of 40mg orally for three days.

Reference

Cantani, A. (2008). Pediatric allergy, asthma and immunology. New York: Springer Publshers.

Gillespie, B. R. (2007). The corrective Aspect of Craniosacral Fascial Therapy. Explore , P. 1-6.