Case Study Week 3 E.M., a 5-month-old female, presents to the emergency department (ED) with respiratory distress, hypoxia, and fever. Her parents state that she has had mild cold symptoms for a few days. She has fed poorly over the last few days with a decreased number of wet diapers. You take her vital signs and complete an initial assessment. ■ Chart View 1. Review the standing ED orders. Prioritize your interventions with rationales. 1. Oxygen to keep saturations greater than 93%- oxygenation to the tissues always takes priority 2. Nebulizer trial of Albuterol (proventil)2.5mg -this could help open up the bronchioles 3. Normal Saline (NS) Bolus 20 ml/kg IV bolus - could help with eliminating secreations and improve dehydration.
4. Acetaminophen (Tylenol)60mg PO for fever- this will help with reducing fever and any pain or discomfort EM may be feeling. 2. Based on E.M.'s vital signs and assessment, what diagnostic tests would you anticipate?\ Basic metabolic profile to check respiration and hydration
- Winter '16
- Intravenous therapy