Respiratory therapy case study asthma Essay Example | Topics and Well Written Essays - 500 words

Respiratory therapy case study asthma - Essay Example P: The patient must be treated aggressively since she is presenting symptoms of life-threatening exacerbations of asthma, including: severe asthma history, poorly controlled asthma, psychological factors/anxiety, previous hospitalization for asthma, and history of intubations with mechanical ventilation. Albuterol must also be stopped as this further aggravates bronchospasm. Hence, the following respiratory care protocol must therefore be administered: (1) 100 percent nonrebreather face mask, (2) continuous SaO2 monitor/pulse oximetry, (3) inhaled short acting beta2-agonist hourly or continuously with the addition of anticholinergic, (4) IV fluid is a must since insensible water losses are increased with the work of breathing. IV hydration also helps in reducing viscosity and mucus plugging; however, urine input and output should be monitored to avoid overhydration, (5) intravenous corticosteroids, (6) CBC, electrolytes, ABG, chest radiograph, EKG, and theophylline level should be o btained (Veteran Health Administration, 2002). Leukotriene modifiers is known for its anti - inflammatory effects and should be added to the aforementioned medications (Louisiana State University database, 2006). Additionally, ABG revealed that patient has metabolic acidosis (HCO3- 19 mmol/L), an ominous sign of asthma. The patient has metabolic acidosis as a compensatory mechanism of impending respiratory alkalosis. Treating the underlying causes of respiratory alkalosis such as anxiety and asthma per se is a must to avoid further complication. It should be noted that if possible, intubation and mechanical ventilation should be avoided if at all possible, because the â€Å"underlying dynamic hyperinflation will worsen with positive-pressure ventilation† (Werner, 2001). Inspection: high fowler’s position, pursed-lips breathing, cyanotic, using accessory muscles of inspiration,

Public Administration Essay Example | Topics and Well Written Essays - 500 words

Public Administration - Essay Example According to Max Weber’s policy, public administrators must be restricted to only laid down the policies in the discharge of their duties. But this would not help the country to have a proper and efficient public administration. The public administrators must have some amount of discretion as this would help them to resolve an issue based on the problem’s nature. The policies proposed by the government are generally common and it does not specify any external factor to tackle the problem. In this situation, the administrators must decide how to solve the issue by altering or modifying the proposed rules. They should have the rights to modify and implement the proposed policies. They must also have some amount of discretion so that they can decide how to serve the public in a better way. In a democratic country, the public administration cannot be carried out in an effective way without proposing new techniques and strategies. (Denhardt, 2009). The problem differs based on the situation and the same regulation might not work effectively for all sorts of issues. Instead it is better for the government to allow the public administrators to pursue their work with some discretion. This would enable them to help and serve people in a better way.