RESPIRATORY PROTOCOL
ASSIGNMENT WITH
COMPLETE SOLUTIONS
2026 GRADED A+ .
, NR565 ASTHMA PROTOCOL: INITIAL VISIT
Student’s Name
Institutional Affiliation
Course Code: Course Name
Professor’s Name
6th June, 2026
1) RATIONALE a) This protocol will assist in the differentiation between treatment needs for clients with asthma based on age and symptom frequency and severity, including the process for identification of clients in need of referral to pulmonology to improve asthma control. The design of the protocol for asthma encompasses these principles. 2) SYMPTOMS a) ASTHMA i) History of respiratory symptoms that vary over time with varying intensity, including: (1) Wheezing (2) Shortness of breath (3) Chest tightness (4) Cough ii) Triggersfor exacerbation can include: (1) Exercise (2) Allergens (3) Season changes (4) Laughter (5) Respiratory illness iii) Presence of asthma phenotypes iv) Client responses on the Asthma Control Test (ACT) or the Asthma Control Questionnaire (ACQ) v) Reduced lung function and responsiveness with medications (1) Reduced expiratory airflow (forced expiratory volume in one second, a.k.a. FEV1) (2) Variable peak expiratory flow (PEF) 3) PHYSICAL EXAM a) Perform the following examinations: i) Vital Signs (blood pressure, pulse, oxygenation, respiratory rate) ii) Auscultation for wheezing iii) Identify increased work of breathing iv) Identify retractions v) Cardiac assessment vi) Lower extremities for edema and pulses vii) Neurological b) Consult the supervising physician if findings of: i) Respiratory distress 4) LAB TESTS a) Depending on severity, can include: i) Arterial or venous blood gas (1) ph (2) O2 (3) CO2 (4) Bicarbonate (5) Base excess ii) CBC (1) Hemoglobin and hematocrit (2) WBC and eosinophils iii) Total or specific IgE levels iv) Consult the supervising physician if: (1) Abnormal blood gas results or s
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