Question

A healthy 2-year-old was found unconscious in her crib with a fixed gaze. The mother became hysterical and called 911. The mother assessed the child and tried to assess for airway obstruction. The child had a brachial pulse but was not breathing. The mother began rescue breathing and the child vomited. A solid piece of food was in the emesis and the child began breathing. The child opened her eyes and had a fixed stare. Eventually, the child began to cry and within 10 minutes, the child was crying and staring around the room. Upon arrival of paramedics, the child was acting normal and she was shivering.

• Develop assessment questions you would ask the mother to learn more about the child’s problem.

• Describe the most likely pathophysiologic event(s).

• Describe the structures of the neurologic system most likely impacted by the patient’s symptoms.

• Explain what is happening at the cellular level resulting in this patient’s symptoms.

• Explain key considerations for educating the mother and other caregivers regarding the patient’s symptoms.

References should be in APA format.

Answer 1

1. when and how occured this problem ?

2. Ask the mother regarding breathing problem and other problem , to confirm the reason , it might be helpfull for releiving as well as preventing complication.

The above statement clearly states that child was developed choking

Defenition : Choking is a kind of breathing difficulty due to obstruction within the airway usually between the pharynx and bifurcation of trachea

PATHOPHYSIOLOGY

Due to several reasons, in this case solid food substances are obstructed throat or windpipe.due to this reason child was not breathing,

In some cases the airflow is completely blocked, in other cases some amount of air can pass to the lungs. Insufficient oxygeay n being delivered to the body will result an oxygen deprivation.Although oxygen stored in the blood and lungs can keep a person alive for several minuts after breathing stops. This may sometimes leads to death.

Child was found unconcious its because of lack of oxygen supply throughout the body. Because of aiway obstruction due to the obstruction of airway or windpipe, lungs were not recieved enough air therefore child was developed the problem cal asphyxia and results unconciousness and other neurological changes .

CELLULAR PATHOPHYSIOLOGY

During hypoxic injury oxygen rich blood flow falls below a certain critical level that is required to maintain cell viability. the interrupted supply of oxygenated blood to cells results in anaerobic metobolism and loss of adenosine triphosphate and and cellular membrane desruption.

Key points

1. Educate the parents call 911 if if the child is

a. Unconciousness

b. Not able to cry, talk, and make noise

c. turning blue in the face

d. Grabbing at the throat

e. Looking panicked

2. While waiting for 911, if the child is unconciousness educate them regarding

a. Start CPR - Get the child into position - hold the child facedown on your forearm supported by your thigh, keep the child childs torso higher than head.

b. Give forcefull blows - Use the heel of your free hand to thump the child in between the shoulder blades upto five times

c. Turn the child over - Turn the child face up and keep supporting the head and neck if the object is not out yet

d. Press the chest -

- Place the child on firm surface which may still be your forearm

- Put two or three fingers in the centre of the childs breastbone and push quickly up to five times

- Repeat the back thumping and chest pushes untill the object comes out or child losses conciousness

- If the child is still noy breathing open the airway by putting your thumb in thye childs mouth and grasping the lower incissors or gums, The jaw should lift up so you can look for the object. Do not do a finger sweep

- Do not try to put the object out unless you see it clearly, you could accidentally push the object deeper in the childs throat.

e. Start CPR if needed

If the child losses conciousness , perform CPR and take the object ofn his/her mouth , only if you can see it never do a finger sweep unless you can see the object in the childs mouth.

Conclusion: In the view of the above statement it would be greatly appreciated if you could assess the condition of a child and provide appropriate care to bring to normal life .