A 7-year-old female weighing 26 kg presents to the emergency…

Question Answered step-by-step A 7-year-old female weighing 26 kg presents to the emergency… A 7-year-old female weighing 26 kg presents to the emergency department with an asthma exacerbation. Her mother reports she has had an upper respiratory tract infection for the last 2 days and has been using her albuterol inhaler more frequently. Today she has received treatments every 2 to 3 hours but still complains of shortness of breath and has frequent coughing. She reports taking her controller medication, Flovent 44 mcg 2 puffs bid as prescribed. Her mother states that the patient uses her controller medication every day. Your assessment reveals the following: an alert yet anxious 7-year-old, sitting on the edge of the bed leaning forward. She has moderate inter-costal retractions. You ask her to tell you her name and favorite activity at school, but she must stop and take a breath after four words. At this time, vitals are as follows: heart rate of 140 beats per minute, respiratory rate of 42 breaths per minute, SpO2 at 93% on room air, blood pressure of 90/60 mm Hg, temperature of 37.5°C. Upon auscultation, breath sounds are diminished with very faint expiratory wheezes throughout all lung fields. 1. You are called to the room. What is your recommendation at this time?Your reassessment after an hour reveals the following: heart rate of 156 beats per minute, respiratory rate of 36 breaths per minute, SpO2 at 95% on room air. Mild intercostal retractions persist. Breath sounds reveal increased expiratory wheezes throughout all lung fields. The patient status has improved after an additional hour of observation (heart rate of 140 beats per minute, respiratory rate of 28 breaths per minute, SpO2 at 98%, blood pressure of 88/60 mm Hg). Intercostal retractions are no longer present. Breath sounds show improved air entry throughout all lung fields, and few expiratory wheezes persist. The patient is discharged home with follow up with her primary care physician in 2 days.2. What key components are necessary for improving this patient’s asthma control? 3. Are there other recommendations that you might make for this patient at this time? Health Science Science Nursing SCIENCE / RSPT Share QuestionEmailCopy link Comments (0)