There are three identifiable probable reasons for Geronimo’s acute exacerbation of asthma, these include; Geronimo experiencing an upper respiratory infection, Geronimo going three days without medication, and the recent thunderstorm.
Respiratory infections, rhinovirus, and influenza are the most commonly associated viruses associated with acute exacerbations of asthma in children. However, the explanation as to why these viruses trigger exacerbations is still unclear (Jackson, Sykes, Mallia, & Johnston, 2011). Geronimo’s mother has stated Geronimo has been suffering from an upper respiratory infection, with associated cough and breathlessness. Based on the findings of Jackson et al., (2011), this could have triggered Geronimo’s acute exacerbation of asthma
Lack of adherence to medication is another trigger for acute exacerbation of asthma (Jackson et al., 2011). Without his nightly dose of Salbutamol over the last three days, Geronimo would experience difficulty maintaining a patent airway. Studies have shown that to prevent acute exacerbations, individuals should …show more content…
The Forced vital capacity (FVC) is the total amount that can be forcibly exhaled after inhaling the maximum amount. The Forced expiratory volume (FEV1) is the amount of air that is expelled during the first one second of the FVC test (Banasiak, 2014). Geronimo’s original FEV1 was 1.64L, 55% of predicted, this is considered a moderate obstruction of the airway. After the administration of a bronchodilator Geronimo’s FEV1 improved to 2.2L, 74% of predicted value, an improvement of 34% which now classes Geronimo’s obstruction as mild ; evidence that Geronimo is responding well to treatment with the bronchodilator (Banasiak,