Description

You’ll get multiple versions for this Assignment

General Instructions:

Carefully read the assignment guidelines and rubric and complete each section of the asthma protocol below.

1)      RATIONALE

• 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

1. ASTHMA
   • History of respiratory symptoms that vary over time with varying intensity, including:
   • Triggers for exacerbation can include:
   • Presence of asthma phenotypes
   • Client responses on the Asthma Control Test (ACT) or the Asthma Control Questionnaire (ACQ)
   • Reduced lung function and responsiveness with medications

3)      PHYSICAL EXAM

• Perform the following examinations:
• Consult supervising physician if findings of:

4)      LAB TESTS

• Depending on severity, can include:

5)      PULMONARY FUNCTION TESTS

• Forced expiratory volume in one second (a.k.a. FEV₁)
• 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.

7)      TREATMENT DIFFERENCES IN ADULTS AND CHILDREN

• 1^st line initial pharmacological treatment in step one, track one asthmatic adult clients and no compelling contraindications/comorbidities are identified: (Choose a generic drug from the drug class you would like to prescribe as initial asthma treatment for adults).
• 1^st line initial pharmacological treatment in step one, track one pediatric clients (ages 6- 11) and no compelling contraindications/comorbidities are identified: (Choose a generic drug from the drug class you would like to prescribe as initial asthma treatment for pediatric clients).

8) ​TREATMENT MONITORING

• How long until a follow-up appointment should be done with the client?
• Monitoring needs for first-line medications prescribed to adults for track one, step one: (Include physical assessments, pulmonary function tests, and lab/diagnostics as applicable. If not applicable, enter N/A to show you find it not applicable.)

9)      TREATMENT FAILURE

• How will you know if the treatment is not working or needs to progress?
• What is the next step if treatment is not working or needs to progress?
• What indicators would demonstrate the client requires a higher level of care?