Discussion 3 2nd reply


  • You should respond to two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Must have intext citation and one reference, and 150 words and must be within 5 years.
  • All replies must be constructive and use literature.

****** Below are very important for grading************

Response to Posts of Peers Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.

Use of Citations, Writing Mechanics, and APA Formatting Guidelines Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

Identification of Main Issues, Problems, and Concepts Distinguished – 5 points
Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts.

Respond to Thaiz

Severity Classification of Asthma Attack

The peak flow rates is a simple measure of the maximal flow rate that can be achieved during forceful expiration following full inspiration. Typical peak flow meters are equipped with gauge markers indicating three zones that can be set by the patient or clinic staff to aid users in interpreting their peak flow scores (DeVrieze et al., 2023). Scores in the patient D.R can be classified as moderate to severe.

Additionally, the persistent symptoms, nocturnal exacerbation, and insufficient response to rescue medication can be classified by its severity in moderate persistent, and the worsening of this condition will require immediate intervention to prevent further deterioration and potential respiratory failure (Dlugasch & Story, 2024).

Common Asthma Triggers

Asthma triggers vary among individuals but commonly include viral respiratory tract infections, exercise, gastroesophageal reflux disease, chronic sinusitis, environmental allergens, use of aspirin, beta-blockers, tobacco smoke, insects, plants, chemical fumes, obesity, emotional factors or stress (Muhammad et al., 2023).

In D.R.’s case, the onset of symptoms coincides with the season of high pollen count, suggesting allergic triggers. Additionally, his respiratory symptoms may have been exacerbated by a viral respiratory infection, as indicated by the presence of postnasal drainage and watery eyes. In addition, environmental factors such as air pollution or exposure to smoke could contribute to his worsening symptoms.

Etiology of Asthma in D.R

The etiology of asthma involves a complex relationship of genetic predisposition and environmental factors. While the precise cause of asthma remains indefinable, several contributing factors are commonly implicated. Genetic susceptibility plays a significant role, with familial bundling of asthma observed in many cases (Dlugasch & Story, 2024). Additionally, environmental exposures during early life, such as allergens and pollutants, can influence immune system development and increase the risk of asthma development (Muhammad et al., 2023).

In D.R.’s case, he could have a family condition of asthma and the presence of allergic symptoms suggest a genetic predisposition to the condition. Exposure to allergens, possibly exacerbated by seasonal variations, could have triggered his current exacerbation. Also, his reported history of frequent albuterol use may indicate inadequate asthma control.

In conclusion, the presented case underscores the importance of prompt assessment and management of asthma exacerbations. D.R.’s symptoms, peak flow measurements, and response to therapy indicate a moderate-to-severe exacerbation requiring urgent intervention. Understanding the common triggers and underlying etiology of asthma, and highlighting the importance of optimizing long-term asthma management strategies, including adherence to controller medications and avoidance of triggers (Muhammad et al., 2023).


DeVrieze, B. W., Modi, P., & Giwa, A. (2023, July 31). Peak flow rate measurement. StatPearls [Internet].

Dlugasch, L., & Story, L. (2024). Applied Pathophysiology for the advanced practice nurse. Jones & Bartlett Learning.

Muhammad, F., Hashmi, M. F., Tariq, M., & Cataletto, M. E. (2023, August 8). Asthma. StatPearls [Internet].