NR565 Week6 Respiratory Protocol Assignment With Complete Solutions 2026 Latest Update

General Instructions: Carefully read the assignment guidelines and rubric and complete each section of the asthma protocol below. 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) Triggers for 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 © 2024. Chamberlain University LLC. All rights reserved. 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 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 supervising physician if: (1) Abnormal blood gas results or severe anemia 5) PULMONARY FUNCTION TESTS a) Forced expiratory volume in one second (a.k.a. FEV1) b) Peak expiratory flow (PEF) 6) PHARMACOLOGICAL TREATMENT Asthma Treatment Algorithm: To successfully treat asthma, you must first classify it and then be familiar with step therapy. For this assignment and in this course, we will focus on patients 12 years and older. Complete the blanks in the following table to create an algorithm for asthma care using the GINA guidelines linked in the assignment instructions. What is a “reliever”? A reliever is a medication used for quick relief of asthma symptoms.