Reflection on Patient with Acute Asthma Management

Reflection on Patient with Acute Asthma ManagementAcute asthma, for a human body is rightfully harmful. Being from a medical background, I understand the seriousness of the issue and regarding the same I want to add on to my strengths schooling better to handle any throwaway(prenominal) situation like that overcoming my weaknesses.Here, I will discuss all the related important things in understanding the asthma problem and handling a diligent quoting an example.Describe the event or area of learning / knowledge that you identified as part of your clinical scenarioExample A 45 year hoar female tolerant with asthma is to be transferred to FMC. She was initially admitted to a local regional hospital at room no. 0139 with severe asthma issue. As a first step to handle the situation she was being settled with salbutamol and amiophylline. She was and so reviewed in the morning time and was suspected with chest infection and congestion. The police squad of the doctors discussed the issue internally and finally decided to transfer the persevering to FMC for further review.Now what are the challenges and scope of learning areas I found in the side are listed below but for that I want to start from the introduction-Acute asthma management is based on some primary steps that include assessing the severity of the patient whether it is mild, moderate, and severe or life threatening. All these will be discover during the startup of the bronchodilator treatment immediately after the patient is being admitted. Next comes the administering oxygen therapy. This is will be observed or implemented if the case is too serious and the therapy is needed to be d unmatched. If it is required then there are some things need to keep in mind that saturated oxygen titration to the target or the patient is at 9295% (adults) or at least 95% (children). After this is done as per the requirement, then comes the number of completing the observations and the assessments that will be solely based on clinical priorities determined by baseline severity. Asthma can be really hazardous for the patient in the longer run, they can cause continuing lung issues and respiratory problems and that is why proper observance and administering is required. Further, keep a close check on systemic corticosteroids within the first hour of treatment is really necessary. Till the time acute asthma gets resolved, a regular and repeated reassessment response to the ongoing treatment is essential. If required the solid process should all be continued or something more should be added to the previous style of treatment. Also, this whole should be repeated in cycle till the patient is transferred or referred to some another hospital or ICU for further observance. Apart from all these, observing the patient for at least 1 hour a day is a must call.Systemic manifestations and comorbidities of COPD- European Respiratory Journal (2009) European Respiratory Journal http//erj.ersjournals. com/content/33/5/1165.full.pdf+htmlWhat were you persuasion and feeling? Why did you identify the action or leaning as important to you?It was very shocking as well as sad happening for me as since my childhood I cannot see anybody in pain or in any kind of unwanted situation. To me serving mankind is the ultimate remainder for my life. If by chance I could help out anybody during any bad or harmful situation through my efforts, I will be the happiest soul on this earth and I mean it. And that is the reason why I chose this medical field at the first place despite of the initial neutralize from my family on my decision to get into the medical field as they wanted me to be an architect.I believe that you get a chance to be natural in the human race just for once, so how will it matter if I dont become the reason for someones happiness. Also, I took this situation really seriously as I wanted to deal with this kind of situation if it occurs further in my family or my neighborhood .If talking medically, at the first place as per my understanding and learning I thought of giving her salbutamol along with atrovent fused by a nebulizer as a first aid to the issue but then suddenly I planned to delay the same as I came to know that the patient has already taken her daily dose of salbutamol puffer. After having a look on her medical history, I gathered the information that the lady has some anxiety disorder and borderline disorder too. Why I am mentioning these issues here is because of the reason that just due to these disorders, a feeling of shortness of breath can be occurred and at that time I should not be or somebody else for that matter should not be panicked. Apart from these observations, her blood pressure level and heart rate were pretty normal and with these now a proper treatment plan can be taken. Also, for some further added information to the case history, while attending the patient I have observed that in the recent past she has been already admi tted to ICU for 3 times and this should be noted down during the treatment plan. During those admissions, she complained of anxiety issues and also that she hates going to the city hospital because of their ICU referral problems. That means she totally hates being admitted in ICU as in ICU the treatment is really complex and hard to adapt. titty Lung- The Journal of Acute and vital Care (JulyAugust 2012) http//www.sciencedirect.com/science/article/pii/S0147956312000684Evaluation AnalysisI would like to list my actions in order of appropriateness.What I did well The Primary survey, observing her social and recent medical history, collecting and placing all the facts related to her health in proper order for further planning, attaching the cardiac monitor with the patients body and then closely keep a check on the whether the assessment of heart rhythm respiratory was a thorough one or notWhat I could have done better I should have given her salbutamol and atrovent nebulizer in th e beginning itself, making her feel depressurise and comfortable by giving her instructions for proper postures, I should have also given more detailed info in handover ISBAR, the call for the act crew support was a big mistake as I could have called the local staff of the hospital itself. I will definitely bring up a note of these mistakes and will keep in mind for future referencesAlso, I could have done a better research on wheezing patients, the symptoms and the required medical approaches especially for the ones suffering from mental illnesses such as anxiety disorder. Delay in the treatment action plan and decision making was one thing needed to be checked. Apart from these mistakes, one major thing I have learnt is expiratory wheezing can indicate asthma, so I will definitely keep that in mindI take all challenges and the situations coming in my path of learning as a positive one, nothing in this world is negative so the positive thing happened with me is that I was final ly able to communicate with both partner and patient really well and I am happy about my competence. Opting and deciding the correct clinical approach is another reason for my happiness on my list.clinical and economic burden of patients diagnosed with COPD with comorbid cardiovascular disease- Respiratory Medicine (October 2011) http//www.resmedjournal.com/article/S0954-6111(11)00133-8/abstract?cc=y=What was difficult about the scenario and why?As a prentice or beginner you can say, I think I have a followed a good approach to the whole situation because from the time she was admitted in the hospital, she is feeling much better now. I believe I have applied full and true approaches from my medical learning and understanding in managing the whole situation and for my leadership I would like to add that considering a beginning it was quite good.I have assessed the vital symptoms and signs of the patient and also have entirely referred and observed her past medical history. Not only that during the first step of the treatment, I have linked my approach and planned the treatment as per the history.If I talk about the difficulties and the barriers that I faced during the situation, then I would like to mention this that English is not my first language and during the treatment procedure I find it really hard to convey my intentions to the patient. Also, I was not able to understand her problems so I need really hard to work on that. Apart from that I believe that learning is a 24X7 process and I will definitely focus on polishing my skills further.ReferencesEstimating prevalence of common inveterate morbidities in Australia-The Medical Journal of Australia (2008)Estimating prevalence of common chronic morbidities in Australia-The Medical Journal of Australia Online Available https//www.mja.com.au/journal/2008/189/2/estimating-prevalence-common-chronic-morbidities-australia?0=ip_login_no_cache%3Dac017679306e921f901be42b8204e158 Accessed 3 June 2015clinical and ec onomic burden of patients diagnosed with COPD with comorbid cardiovascular disease- Respiratory Medicine Online Available http//www.resmedjournal.com/article/S0954-6111(11)00133-8/abstract?cc=y= Accessed 3 June 2015Heart Lung- The Journal of Acute and Critical Care Online Available http//www.sciencedirect.com/science/article/pii/S0147956312000684 Accessed 3 June 2015Systemic manifestations and comorbidities of COPD- European Respiratory Journal Online Available European Respiratory Journal http//erj.ersjournals.com/content/33/5/1165.full.pdf+html Accessed 3 June 2015