Pediatrics Assignment.docx - Question 1 2.5 out of 10...

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Question 12.5 out of 10 pointsBilly is a 14-month-old male who presents to the ED in respiratory distress. Mom states that Billy was sitting in his high chair eating a hot dog when he had a sudden onset of respiratory distress.Subjective DataoSudden onset of “coughing” while eatingoAppears anxious, will not let go of MomObjective DataoVital signs: T 36.8° C P 140 R24 BP 110/60, SPO2 95%oStridor noted on inspirationAnswersAssess breath sounds and monitor vital signs frequentlyPrepare to initiate measures to relieve airway obstructionPrepare patient and parents for laryngoscopy or bronchoscopy in the ORProvide support for the family
Question 210 out of 10 pointsJonah is a 9-year-old male with a known peanut allergy who ate a sugar cookie at school (stored with other cookies including peanut butter cookies). He suddenly developed a rash, shortness of breath, and swelling of his face.
oStates he ‘feels very nervous’Objective DataoVital Signs: T 37.7° C, P 130, R 32, BP 90/60oRaised red rash noted on face, trunk, extremitiesoEdema noted on face and handsAnswersEnsure adequate airway, have code cart, intubation equipment, and trachtray availableAdminister epinephrine, antihistamines, corticosteroids, and IV fluids asorderedObserve for a minimum of 6 hours after reactionPrepare family for admission to hospital if reaction reoccurs during the observation periodQuestion 32 out of 10 pointsMario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.Subjective DataoComplains of hurting all overoStates he feels very tiredoStates he feels dizzy when he stands upObjective DataoWeight 26.1 kgoVital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%

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