Ms. Y Scenario:
Ms. Y is a 3-year-old with a history of asthma. She is brought in by her mother who indicates the child has not been eating well for the past few days. And today she looks restless and agitated. Both parents are present. Mother indicated child is allergic to peanuts and she found her eating cashew nuts.
Ms. Y is sitting up in her mother’s lap, taking rapid shallow breaths, using accessory muscles to ventilate and has a weak cry. Auscultation reveals expiratory wheezes. Father is calling out the child’s name repeatedly. Child has some dark bruises around her arms and looks frightened refusing to look at her father.
Include at least 2 scholarly external references from within the last five years in addition to your textbook(s).
Appropriately reference readings and other materials using APA 7th edition format. Whenever possible, post references as usable links.
Internal Sources:
Norris, T. L. (2020). Porth’s essentials of pathophysiology (5th ed.). Wolters Kluwer. ISBN-13: 978-1-975107-19-2
Diagnostic Procedures
Her baseline vital signs are as follows:
Blood pressure (BP): 102/54 mm Hg
Heart rate (HR): 110 beats/min (sinus tachycardia)
Respiratory rate (RR): 30 breaths/min
Temperature (T): 102.5° F
WBC count: 12,000
Her baseline arterial blood gas (ABG) values on a 100% non-rebreather mask:
Pao2: 68 mm Hg
Paco2: 30 mm Hg
pH: 7.55
HCO3 level: 28
O2 saturation: 86%
Ms. Y’s Medical Diagnosis
Status asthmaticus is diagnosed.
Questions to Address for Your Discussion
Use Ms. Y’s case information to address the following. Type your answers in the boxes provided (you will be able to save your answers). Select submit to post your answers.
What major outcomes do you expect to achieve for this patient?
What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?
What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?
What possible learning needs do you anticipate for this patient?
What cultural and age-related factors may have a bearing on the patient’s plan of care?
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