Katherine Harris IHuman Case Study HEENT And Respiratory Infections
There has been growing appreciation of the significant role played by the Mucociliary transport system in the body. Mucociliary clearance is a critical host Defense mechanism of the airways. Effective mucociliary clearance requires Appropriate mucus production and coordinated ciliary activity. Mucociliary transport is Responsible for primary innate immunity in the respiratory tract. In order to assess Mucociliary transport and diseases resulting from mucociliary transport dysfunction, It is first necessary to understand the cellular anatomy and physiology that drive Mucociliary function.
The primary function of this epithelium is as a protective barrier. There are two different liquid layers coating the epithelial surface: the viscous outer gel layer and the thin inner periciliary layer. The gel layer of the mucus consists of mucin glycoproteins, secreted by goblet Cells and submucosal glands. The mucin traps the bacterial compounds, pathogens, And inhaled debris, and coordinated ciliary activity propels the debris-laden mucus Toward the glottis for elimination. This action is called mucociliary clearance.
Ciliary Disorders are divided into two categories: primary (inherited) and secondary (acquired). Primary ciliary dyskinesia (pcd) is a collection of genetic defects in cilia Structure resulting in defective ciliary activity. Secondary ciliary dyskinesia (scd) or Acquired ciliary dyskinesia is a transient defect of immune ciliary clearance that Occurs after viral or bacterial infection, tobacco smoke, pollutant exposure, as well as during allergic inflammation. In this chapter, clinical assessment of mucociliary disorders are discussed.
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For the iHuman Case Study – HEENT and Respiratory Infections assignment, make sure you post your initial response to the Discussion Area by Saturday, August 19, 2017.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for the iHuman Case Study – HEENT and Respiratory Infections assignment by Wednesday, August 23.
For the iHuman Case Study – HEENT and Respiratory Infections assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.
Here you can view information on how to access and navigate iHuman.
This week, complete the iHuman case titled “Katherine Harris.”
Apply information from the iHuman Case Study to answer the following questions:
- Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in the pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?
- Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.
- Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?
IHuman Case Study – HEENT And Respiratory Infections Sample Paper
Case Study I-Human- Katherine Harris Chief Complaint: Cough and Difficulty in breathing History:
Miss Katherine Harris is 16 years of age and is an understudy who presents with dynamic shortness of breath for a few days now. Her concern started four days prior when she got a bug. Her “cold” consisted of a sore throat, rhinorrhea and myalgia. Her tutoring compels her to go to classes even in the harsh elements and moist air. At first, she just felt tired yet later she built up a cough* and shortness of breath. At first, the cough was dry yet within 24 hours of beginning, it delivered plentiful yellow-green sputum. She states, “I cough up a measure of this stuff each day”. She didn’t think much about a cough since she consistently coughs amid the winter of every year. Her mom expresses that she “hacks and spits up” each morning when she gets up from the bed.
The shortness of breath has compounded so she can scarcely talk now. She likewise has torment in the left half of her chest when she coughs. She turns out to be exceptionally worn out subsequent to strolling up a flight of stairs amid a coughing spell. She denies hemoptysis, night sweats, chills, and paroxysmal nighttime dyspnea Katherine Harris. Nonetheless, she complains of swelling of her lower legs: “I’ve had this for over a year.”
Ms. Katherine has been dealt with for hypertension, pneumonia and diseases of her hands. She has been dealt with for comparable scenes of coughing and shortness of breath amid the previous two years. When she was hospitalized because “I was drinking excessively and my pancreas misbehaved.” A past specialist gave her nitroglycerin.
The patient seems considerably older than her expressed age of 16 years. She is a stocky fellow who seems rough, worn out and on edge. She talks about trouble, rapidly getting to be winded. There is cyanosis which heightened amid coughing spells. Pulse is 146/82 mmHg. Apical heart rate is 96 moments and customary. Respiratory rate is 28/minute. Temperature is 100.2o F.
Examination of the head and neck uncovers the utilization of extra muscles amid breath. Jugular veins are enlarged to 5 cm. with a conspicuous “a” wave Katherine Harris.
Examination of the chest uncovers utilization of extra respiratory muscles. The front-back measurement of the chest is expanded. Breath rate is expanded; respiratory is standard and longer in termination. Fremitus is diminished and the lung fields are hyper-resounding (diffusely) with percussion. Percussion additionally uncovers diminished outing of the stomach (reciprocal). Breath sounds are reduced respectively. Coarse crackles, rhonchi and expiratory wheezes are heard reciprocally. A large portion of these sounds clear with coughing.
Examination of the cardiovascular system uncovers soft heart sounds: S2 is part and louder than S1. The P2 segment appears louder than A2 and is heard best at the base of the heart. An S4 is heard best along the left lower sternal fringe. A mumble isn’t recognized.
The stomach area is round however soft. Inside sounds are not heard. The liver edge is round, somewhat delicate and discernable 2 cm. underneath the privilege costar edge in the mid-clavian line. The prostate is developed and nodular on a rectal exam.
Both feet show hallux valgus. There is pitting edema of the ankles Katherine Harris.
The patient is first found in the emergency room. The accompanying information reflects the underlying tests.
Leukocytes check is 12,500/mm3, 58% neutrophils, 7% groups, 28% lymphocytes, 6% monocytes, 1% eosinophils. Hemoglobin = 19.8 g/dL; Hematocrit = 60%; Platelet check = 320,000/mm3.
Glucose 112 mg/dL (non-fasting); BUN 16 mg/dL, Creatinine 1 mg/dL; Cholesterol 240 mg/dL; Aspartate aminotransferase (AST) 18 U/L, Alanine aminotransferase (ALT) 32 U/L, Creatine kinase 72 U/L; Sodium 130 mEq/L, Potassium 4.8 mEq/L; Chloride 90 mE1/L, Bicarbonate 33 mEq/L.
PH 7.38, Pa 02 44 mmHg, PaC02 58 mmHg, HCO3 31 mEq/L.
Chest x-ray PA and parallel perspectives Sputum culture results are pending.
The patient is hospitalized. Spirometry is performed. The stream volume circle and results are as per the following:
FEV1 = 0.5L, Predicted = 2.9L, Percent of Predicted = 17%
FVC = 1.7L, Predicted = 3.9L, Percent of Predicted = 43% FEV1/FVC = 29%
Assignment 4: SOAP Note
Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template.The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley Katherine Harris.