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NR565 Week 6: Respiratory Protocol Assignment

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NR565 Week 6: Respiratory Protocol Assignment

NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment
NR565 Week 6: Respiratory Protocol Assignment

General Instructions  

Explore current literature and clinical practice guidelines to complete the clinical treatment protocol template.

  1. Complete the protocol outline templateDownload protocol outline templateOpen this document with ReadSpeaker docReader to develop a protocol for asthma treatment. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric.
    1. Sections 1-5 on the template have already been completed. You are to complete sections 6-9 and References.
  2. Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources:
    1. Asthma Clinical Practice GuidelineLinks to an external site.Open this document with ReadSpeaker docReader 
    2. Course Textbook (for individual medication information)
    3. Journal Articles from within the last five years as defined by program expectationsLinks to an external site..
  3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
  4. No more than one short direct quote (15 words or less) may be used in this assignment.
  5. First person should not be used within this assignment.
  6. At least three scholarly references must be used for this assignment.
  7. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric).

Pharmacological Treatment (Section 6 on the template)

  1. Correctly complete all blanks for the asthma treatment algorithm table as noted in the CPG.
  2. List medications in order according to the CPG.
  3. List generic medication names for each category.
  4. Provide an in-text citation under the completed table.

Treatment Differences in Adults and Children (Sections 7a and 7b on the template)

  1. Correctly list the first line of initial pharmacologic treatment in step one; track one for asthmatic adults.  (7a on the form)
  2. Correctly list the first line of initial pharmacologic treatment in step one, track one for asthmatic children ages 6-11. (7b on the form)
  3. Correctly list drug dose, route, frequency, instructions, precautions, drug cost, and education for adult and pediatric clients.
  4. Provide in-text citations under the information for adults and pediatric clients.

Treatment Monitoring (Section 8 on the template)

  1. List the physical assessments required for monitoring the first-line medications prescribed to adults for track one, step one.
  2. List the pulmonary function tests required for monitoring the first-line medications prescribed to adults for track one, step one.
  3. List the laboratory tests required for monitoring the first-line medications prescribed to adults for track one, step one.
  4. Provide an in-text citation under the treatment monitoring section.

Treatment Failure (Section 9 on the template)

  1. Describe how you will know that treatment is not working or needs to progress.
  2. Describe the next step if treatment is not working or needs to progress.
  3. Describe the indicators that would demonstrate that the client requires a higher level of care.
  4. Provide an in-text citation under the treatment failure section.

 

SOLUTION

 

What is a “reliever”? A reliever is a medication used as needed for rapid symptom relief by relaxing bronchial smooth muscle and reversing acute bronchoconstriction.
What is a “controller”? A controller is a maintenance medication taken daily or as prescribed to reduce airway inflammation and prevent exacerbations.
Step Asthma Symptom Frequency Controller and Preferred Reliever:

 Drug class and frequency as per GINA guidelines)

Controller and Alternative Reliever:

(Drug class and frequency as per GINA guidelines)

Step 1 Asthma symptoms less than twice per month and no risk factors for exacerbations. Drug class:

Low-dose inhaled corticosteroid (ICS)–formoterol

Example Drug:

Budesonide–formoterol

Frequency:

 

 

One inhalation as needed for symptoms

Drug class:

Short-acting beta2 agonist (SABA) with low-dose ICS taken together

Example Drug:

Albuterol plus budesonide

Frequency:

SABA as needed; ICS taken with each SABA use

Step 2 Click or tap here to enter text.

Symptoms twice per month or more but less than daily.

Drug class:

Low-dose ICS–formoterol

Example Drug:

Budesonide–formoterol

Frequency:

One inhalation as needed

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