$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket?
Book Your Assignment at The Lowest Price
Now!
Students Who Viewed This Also Studied
401211 Health Variations 4: Acute Life Threatening Conditions
Question:
Aim
The aim of this assessment is to enable students to:
- Demonstrate knowledge by analysing the information provided in the case study.
- Apply the clinical information provided in the case study and describe this clinical information within a pathophysological and patient focused framework.
- Discuss nursing strategies and evidence based rationales to manage a patient with an acute episode of asthma.
- Discuss the pharmacological interventions related to the management of a patient with an acute episode of a patient episode of asthma.
Details
You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six references from the past 5 years including journal articles, textbook material or other appropriate evidence based resources.
Case study
Peter is a 10 year old male, weight 45Kg.
He presented to ED with worsening respiratory symptoms over the past few hours. His parents state he is unable to talk in full sentences or undertake a peak flow. In ED Peter has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. He was admitted to ICU due to his deteriorating respiratory function with a diagnosis of acute exacerbation of asthma.
Excerpt Of Relevant ICU Notes
Past History
Diagnosed with asthma age 3 (infrequent intermittent asthma).
Current medications: – Ventolin PRN. IUTD (immunisations up to date)
Nursing Assessment
- Clear, speaking in single words
B.RR 43bpm, SpO2 87% RA, 92% on 6LPM O2 + nebuliser, auscultation decreased AE bibasally, inspiratory and expiratory wheeze
- HR 162bpm, ST, peripherally warm
- GCS 14/15 (E4, V4, M6)
- Accessory muscle use, shoulder shrugging on inspiration, tracheal tug
- IVF NaCl 54 ml/hr
- Mg- low 0.60mmol/L (0.70-1.10mmol/L) all other pathology is normal.
- BGL 9.0mmol/L
- Beta-agonist- Salbutamol
- Anticholinergic – Atrovent
- IV Hydrocortisone
- ABG shows respiratory acidosis, (PH 7.32, PaCO2 49, PaO2 70, HCO3 27, BE -2.1, Lactate 1.4)
Plan
– Keep SpO2 92-95%%
– Beta- antagonist Salbutamol continuous via nebuliser
– Anticholinergic Ipratropium bromide (Atrovent) 500ug 4/24
– Hydrocortisone 100mg 6/24
– MgSO4 4mmol/20 minutes
– IVF 53ml/hr
– Repeat ABGs in 1hour
– Monitor BGL
– Peak flow /spirometry
Question 1
Explain the pathogenesis causing the clinical manifestations with which Peter presents.
Question 2
- Sit Peter in a High Fowlers position
– How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratory distress?
- Apply and titrate oxygen
– What oxygen delivery device will you use?
– Why did you choose this device?
– How does providing supplemental oxygen work and, how will it assist Peter?
Question 3
For each medication below explain
– The mechanism of action
– Why your patient is receiving this medication in relation to her symptoms and diagnosis?
– What are the nursing considerations for this medication?
– What clinical response you expect?
– What continuing clinical observations will you need to undertake?
Salbutamol via nebuliser
Hydrocortisone IV
Ipratropium Bromide via nebuliser
401211 Health Variations 4: Acute Life Threatening Conditions
Answer in Detail
Solved by qualified expert
Get Access to This Answer
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.
Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.
Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.
Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.
23 More Pages to Come in This Document. Get access to the complete answer.
MyAssignmenthelp.com has emerged as one-stop solution for students in USA. We have assembled a team of experts to help students from different fields of study. With a pool of 3000+ experts, we are capable of providing top-notch quality plagiarism-free assignments within any short deadline. Our assignment writing services cover more than 100 subjects such as accounting assignment help, maths assignment help, economics assignment help, law assignment help and statistics assignment help.
More 401211 401211 Health Variations 4: Acute Life Threatening Conditions: Questions & Answers
Leadership and Capacity Building
You will evaluate traditional and contemporaryleadership theory to generate a conceptual model that contributesto a framework for building leadership capacity and lifelongleadership for quality improvement to advance nursing.In this assignment you will:1. Either use the workplace issues you identifi …
View Answer
Humanities
Case Studies x 2 Please kindly help to do the assignment according to the assessment details (attachment file A.png). This assessment task requires the completion of two (2) case studies. Students need to choose a different cultural group for each case study and in the construction of each case stud …
View Answer
NRSG263 Principles of Nursing Mental Health
Question:
This assessment enables students to demonstrate understanding of concepts and patient focus factors in mental health. This assessment requires critical discussion on restrictive and coercive practices in mental health. Students will be able to select one question (from a possible two) and …
View Answer
Management
Learning Outcome:Criterion 1. Critically analyses the chosen case and demonstrates anunderstanding of the principles of law and ethics in theperioperative environment.Criterion 2. Draws evidence-based conclusions about the implications of thechosen topic for perioperative nursing care in own facilit …
View Answer
Content Removal Request
If you are the original writer of this content and no longer wish to have your work published on Myassignmenthelp.com then please raise the
content removal request.
Choose Our Best Expert to Help You
Cooper Cassidy
Master of Information Technology with Specialization in Networks and Information Security
2779 – Completed Orders
Hire Me
Still in Two Minds? The Proof is in Numbers!
33845 Genuine Reviews With a Rating of 4.9/5.
Networking
Case Study: 8 Pages, Deadline:
4 days
Very pleased with the time of delivery as it was delivered two days before time and also the contents of the file looked really good.
User ID: 5***59 Australia
HRM
Assignment: 2.6 Pages, Deadline:
3 days
The final draft collaborated with the expert and I was fairly good. I still needed to reword and switch around some stuff, but the paper structure was …
User ID: 7***07 United States
Finance
Home Work: 1 Page, Deadline:
13 hours
thank you for fixing my answers and doing it under the 6pm time requested. Deadline was met.
User ID: 8***88 Australia
Assignment
Assignment: 8 Pages, Deadline:
12 days
Decent prices, live chat is a life saving and I have received my essay on time.Bonus, the last one had a very small similarity. I would never change i …
User ID: 5***94 Nuneaton, Great Britain
Maths
Home Work: 1 Page, Deadline:
5 days
I just want to thank the person who worked on this assignment, and let them know that I appreciate the care and detail they did on this assignment. I …
User ID: 4***77 Nuneaton, United States
Assignment
Home Work: 6 Pages, Deadline:
9 days
well written assignment, thank you for the help. it is very helpful and written to top standard
User ID: 7***74 Nuneaton, Australia
Management
Essay: 4 Pages, Deadline:
9 days
Good job, I am happy with the amazing services and completed work given that meet the requirement asked. Thank you very much for helping me receive a …
User ID: 2***91 Kuala Lumpur, Malaysia
Management
Assignment: 4 Pages, Deadline:
12 days
Good job, I am happy with the amazing services and completed work given. Thank you very much for helping me receive a good mark. Will definitely work …
User ID: 2***91 Kuala Lumpur, Malaysia
English
Home Work: 2 Pages, Deadline:
11 hours
I got a good mark and I am happy with the results of the work. I would definitely recommend
User ID: 7***20 Kuala Lumpur, Canada
Statistics
Programming: 4 Pages, Deadline:
9 days
Plenty of work, well expanded and explained with graphs and tables. Satisfied with the work done
User ID: 8***18 United Kingdom, Great Britain
Operations
Assignment: 3 Pages, Deadline:
5 days
the works are relevant and correct gramma. with proper research as evidence and correct situation and circumstances
User ID: 5***21 United Kingdom, Canada
Nursing
Assignment: 0 Pages, Deadline:
5 days
The expert did his/her job well. I will always submit more assignments and recommend friends to the site because I am really impressed with the job. t …
User ID: 8***32 United Kingdom, United States
Physics
Programming: 1 Page, Deadline:
5 hours
very good service with excellent turnover time to assist my assignment. Definitely recommend this service
User ID: 7***81 Perth, Australia
Chemistry
Home Work: 0 Pages, Deadline:
1 day
GREAT!!! Outstanding performance and very well scored. I received plenty of help and guidance and knowledge.
User ID: 8***17 Perth, United States
Programing
Programming: 4 Pages, Deadline:
9 hours
Python assignment was due in under 24hrs, order was delivered in a timely manner with thoroughly completed tasks
User ID: 7***52 Perth, Singapore
Finance
Home Work: 2 Pages, Deadline:
5 days
Thank you very much for doing an extraordinary job! The graph was beautiful, and I appreciate you adding the graph and the document was written with c …
User ID: 8***35 Saint Louis, United States
Economics
Assignment: 3.2 Pages, Deadline:
6 days
I was very delighted with the work but please your method of payment should be educated and more steps should be taking
User ID: 3***17 Saint Louis, Ghana
It Write Up
Programming: 12 Pages, Deadline:
11 days
Good work , Thanks for your fast response , just please next time take care of the citation , because it was wrong.
User ID: 2***73 Muscat, Oman
Physics
Home Work: 1 Page, Deadline:
7 days
The expert delivered on time, and even before the due date! Really great results!
User ID: 6***06 Atlanta, United States
Physics
Home Work: 1 Page, Deadline:
7 days
Did a really great job again! Multiple assignments have been completely in a true expert fashion.
User ID: 6***06 Atlanta, United States
Networking
Case Study: 8 Pages, Deadline:
4 days
Very pleased with the time of delivery as it was delivered two days before time and also the contents of the file looked really good.
User ID: 5***59 Australia
HRM
Assignment: 2.6 Pages, Deadline:
3 days
The final draft collaborated with the expert and I was fairly good. I still needed to reword and switch around some stuff, but the paper structure was …
User ID: 7***07 United States
Finance
Home Work: 1 Page, Deadline:
13 hours
thank you for fixing my answers and doing it under the 6pm time requested. Deadline was met.
User ID: 8***88 Australia
Assignment
Assignment: 8 Pages, Deadline:
12 days
Decent prices, live chat is a life saving and I have received my essay on time.Bonus, the last one had a very small similarity. I would never change i …
User ID: 5***94 Nuneaton, Great Britain
Maths
Home Work: 1 Page, Deadline:
5 days
I just want to thank the person who worked on this assignment, and let them know that I appreciate the care and detail they did on this assignment. I …
User ID: 4***77 Nuneaton, United States
Assignment
Home Work: 6 Pages, Deadline:
9 days
well written assignment, thank you for the help. it is very helpful and written to top standard
User ID: 7***74 Nuneaton, Australia
Management
Essay: 4 Pages, Deadline:
9 days
Good job, I am happy with the amazing services and completed work given that meet the requirement asked. Thank you very much for helping me receive a …
User ID: 2***91 Kuala Lumpur, Malaysia
Management
Assignment: 4 Pages, Deadline:
12 days
Good job, I am happy with the amazing services and completed work given. Thank you very much for helping me receive a good mark. Will definitely work …
User ID: 2***91 Kuala Lumpur, Malaysia
English
Home Work: 2 Pages, Deadline:
11 hours
I got a good mark and I am happy with the results of the work. I would definitely recommend
User ID: 7***20 Kuala Lumpur, Canada
Statistics
Programming: 4 Pages, Deadline:
9 days
Plenty of work, well expanded and explained with graphs and tables. Satisfied with the work done
User ID: 8***18 United Kingdom, Great Britain
Operations
Assignment: 3 Pages, Deadline:
5 days
the works are relevant and correct gramma. with proper research as evidence and correct situation and circumstances
User ID: 5***21 United Kingdom, Canada
Nursing
Assignment: 0 Pages, Deadline:
5 days
The expert did his/her job well. I will always submit more assignments and recommend friends to the site because I am really impressed with the job. t …
User ID: 8***32 United Kingdom, United States
Physics
Programming: 1 Page, Deadline:
5 hours
very good service with excellent turnover time to assist my assignment. Definitely recommend this service
User ID: 7***81 Perth, Australia
Chemistry
Home Work: 0 Pages, Deadline:
1 day
GREAT!!! Outstanding performance and very well scored. I received plenty of help and guidance and knowledge.
User ID: 8***17 Perth, United States
Programing
Programming: 4 Pages, Deadline:
9 hours
Python assignment was due in under 24hrs, order was delivered in a timely manner with thoroughly completed tasks
User ID: 7***52 Perth, Singapore
Finance
Home Work: 2 Pages, Deadline:
5 days
Thank you very much for doing an extraordinary job! The graph was beautiful, and I appreciate you adding the graph and the document was written with c …
User ID: 8***35 Saint Louis, United States
Economics
Assignment: 3.2 Pages, Deadline:
6 days
I was very delighted with the work but please your method of payment should be educated and more steps should be taking
User ID: 3***17 Saint Louis, Ghana
It Write Up
Programming: 12 Pages, Deadline:
11 days
Good work , Thanks for your fast response , just please next time take care of the citation , because it was wrong.
User ID: 2***73 Muscat, Oman
Physics
Home Work: 1 Page, Deadline:
7 days
The expert delivered on time, and even before the due date! Really great results!
User ID: 6***06 Atlanta, United States
Physics
Home Work: 1 Page, Deadline:
7 days
Did a really great job again! Multiple assignments have been completely in a true expert fashion.
User ID: 6***06 Atlanta, United States
Have any Query?
- Assignment status: Already Solved By Our Experts
- (USA, AUS, UK & CA PhD. Writers)
- CLICK HERE TO GET A PROFESSIONAL WRITER TO WORK ON THIS PAPER AND OTHER SIMILAR PAPERS, GET A NON PLAGIARIZED PAPER FROM OUR EXPERTS
