D.R.’s appearance indicates a moderate to severe asthma exacerbation. His symptoms, which include shortness of breath, wheezing, exhaustion, coughing, and nasal symptoms, suggest severe bronchoconstriction and airway inflammation. The daily monitoring of peak flow rates ranging from 65-70% of his baseline, particularly in the morning, indicates inadequate airflow. The transition to frequent albuterol nebulizer therapy, despite past use of an albuterol inhaler, suggests an unsatisfactory response to normal treatment, indicating a deteriorating asthma exacerbation (Kabundji et al., 2023). The continuation of evening symptoms and the necessity for more intensive therapy highlight the severity of the aggravation.
Common asthma causes include allergies, respiratory illnesses, exercise, air pollution, and irritants. In D.R.’s instance, potential triggers include airborne allergens, which cause nose symptoms and respiratory distress. The observed wet eyes and postnasal discharge indicate an allergic component. According to Jackson and Gern (2022), the recent respiratory illness may have been a factor in the sudden onset and worsening symptoms. The requirement for more intensive therapy and a decreased response to his regular albuterol inhaler may indicate the presence of numerous triggers, necessitating a comprehensive strategy for managing both allergy and infectious components of his exacerbation.