Highlights
Task:
Take Home Exam Case Study One:
Aamira (She/her) 6-year Sudanese-Australian girl who was admitted to the ward last night with an infective exacerbation of atonic asthma. Aamira was brought by her parents to the Emergency Department (ED) yesterday with reports of pain in the chest, dry cough, fever (39.1 •D), profuse sweating and lethargy. In the ED, she has been prescribed salbutamol 4— 12 inhalations (400-1200 micrograms) via spacer or nebulize 5 mg and spirometry has been ordered. Sp02 improve with 2 titres of oxygen (28% Fi02) via nasal cannula. Blood and urine samples were collected prior to commencement of intravenous (IV) fluid therapy and IV ceftriaxone (50 mg/kg (maximum 2 g) once daily). Aamira's's regular medications include Symbicort (budosonide (200 mcg/dose) and eformoterol (6mcgidose) inhaled twice da ly. In the emergency department (ED). Aamira's vital signs were: Sp02 94%
• Respiratory rate 32 breaths per minute
• Widespread expiratory wheeze
• Heart rate 98 beats per minute (regular)
• Temperature 39.1°C
• Blood pressure 106/62 mmHg.
a) Explain the pathophysiological changes of asthma in Aamira's case in relation to her current symptoms (Maximum 250 words — 5 marks)
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