Question

In: Nursing

Pediatric Case Study Scenario history: Johnny is 6 years old, admitted late yesterday with exacerbation of...

Pediatric Case Study Scenario history: Johnny is 6 years old, admitted late yesterday with exacerbation of asthma. Johnny has a history of asthma for 2 1/2 years. He has been admitted to the hospital exacerbation x3; no ICU admission. He was admitted due to coughing, expiratory wheezing, runny nose, and increasing shortness of breath that began shortly after a low-grade fever. Presenting signs: Temp 100.4, HR; 112, RR; 28, 02 Sat 91% Expiratory wheezing, intercostal, and subcostal retractions; unable to complete a sentence without shortness of breath. Peak flow meter- 60%.

1. What would you include in an Asthma Action Plan for Johnny?

2. What B-2 Agonists and Corticosteroids commonly used in the treatment of asthma?

Solutions

Expert Solution


Related Solutions

Pediatric Case Study Scenario history: Johnny is 6 years old, admitted late yesterday with exacerbation of...
Pediatric Case Study Scenario history: Johnny is 6 years old, admitted late yesterday with exacerbation of asthma. Johnny has a history of asthma for 2 1/2 years. He has been admitted to the hospital exacerbation x3; no ICU admission. He was admitted due to coughing, expiratory wheezing, runny nose, and increasing shortness of breath that began shortly after a low-grade fever. Presenting signs: Temp 100.4, HR; 112, RR; 28, 02 Sat 91% Expiratory wheezing, intercostal, and subcostal retractions; unable to...
Chapter 32 Case Study: Bethany Brown Scenario: Five-year-old Bethany is admitted to the pediatric unit with...
Chapter 32 Case Study: Bethany Brown Scenario: Five-year-old Bethany is admitted to the pediatric unit with a diagnosis of hereditary spherocytosis. Bethany’s past medical history is significant for hyperbilirubinemia, intermittent anemia, and splenomegaly. The nurse is aware that spherocytosis is a hereditary disorder and notes that Bethany’s father has the disease. The nurse notes that Bethany’s spleen is 4 centimeters below the left costal margin and no hepatomegaly is noted. Her bowel sounds are active in all four quadrants. Bethany’s...
Case Scenario Mr. W is an 80-year-old retired truck driver admitted to medical ICU for exacerbation...
Case Scenario Mr. W is an 80-year-old retired truck driver admitted to medical ICU for exacerbation of his COPD. He lives his wife, who is 78 years old. Mr. W continues to smoke one to two packs of cigarettes per day, as he has done since the age of 15.Over the past week, Mrs. W has noticed a decrease in Mr. W’s activity level and attention span. He has a productive cough of thick tenacious sputum, averaging 1 cup per...
Pediatric Oncology Case Study Z.O. is a 3-year-old boy with no significant medical history. He is...
Pediatric Oncology Case Study Z.O. is a 3-year-old boy with no significant medical history. He is brought into the emergency department (ED) by the emergency medical technicians after experiencing a seizure lasting 3 minutes. His parents report no previous history that might contribute to the seizure. Upon questioning, they state that they have noticed that he has been irritable, has had a poor appetite, and has been clumsier than usual over the past 2 to 3 weeks. Z.O. and his...
Case Study: Nicole is admitted to the pediatric unit of the local hospital with a temperature...
Case Study: Nicole is admitted to the pediatric unit of the local hospital with a temperature of 38.8º C (101.8º F) that did not respond to the acetaminophen that she has been taking every 4 hours since yesterday. Her admission assessment indicated that Nicole's lung sounds are clear, heart sounds are strong and regular, she is in no apparent distress, has alopecia, and has evidence of white patches in her mouth. Her laboratory values include: Hematology: Hemoglobin: 10.1 g/dL Hematocrit:...
Case Study 2 COPD/Emphysema A patient is admitted to the hospital with dyspnea and COPD exacerbation....
Case Study 2 COPD/Emphysema A patient is admitted to the hospital with dyspnea and COPD exacerbation. The orders from the physician include: Stat ABGs, chest x-ray, complete blood count, and electrolytes IV D5W/½ NS 1000 mL/8 hr Aminophylline IV loading dose of 5.6 mg/kg over 30 minutes followed by 0.5 mg/kg/hr continuous IV O2at 2 L/min per nasal cannula Albuterol respiratory treatments every 4h Chest physiotherapy every 4h Erythromycin 800 mg IV every 6h Bed rest Accurate intake/output High-calorie, protein-rich...
Jennifer Collins, 13 years old, is admitted to the pediatric floor with a diagnosis of probable...
Jennifer Collins, 13 years old, is admitted to the pediatric floor with a diagnosis of probable acute rheumatic fever. a. What would the nurse include when performing an initial assessment? b. What tests would the nurse expect to be done on Jennifer? The diagnosis of acute rheumatic fever is confirmed. c. What would the nurse be sure to include in the discharge teaching plan for Jennifer and her family?
CLINICAL CASE SCENARIO Kodjo, 15 years old boy, is admitted to the medical ward with burns...
CLINICAL CASE SCENARIO Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with the history of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020. Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at home for social distance as a student of the L/A Basic School at Fiayase. Kodjo was nurse in bed...
#1: (Patient Case): T.C. is an 85 yr-old female admitted for COPD Exacerbation. The patient presented...
#1: (Patient Case): T.C. is an 85 yr-old female admitted for COPD Exacerbation. The patient presented with worsening dyspnea and wheezing over the last 2 weeks, and a productive cough. The patient regularly uses oxygen at home. The patient lives alone in an apartment on the 4th floor (no elevator in the building). Patients’ neighbor brought her into the ED when she noticed the patient having trouble getting up the stairs to her apartment after going down to the first...
1: (Patient Case): T.C. is an 85 yr-old female admitted for COPD Exacerbation. The patient presented...
1: (Patient Case): T.C. is an 85 yr-old female admitted for COPD Exacerbation. The patient presented with worsening dyspnea and wheezing over the last 2 weeks, and a productive cough. The patient regularly uses oxygen at home. The patient lives alone in an apartment on the 4th floor (no elevator in the building). Patients’ neighbor brought her into the ED when she noticed the patient having trouble getting up the stairs to her apartment after going down to the first...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT