What is an appropriate plan of care for Johnathan? Johnathan’s plan includes reassessing his condition after his initial treatment and oral steroids. Oxygen therapy maybe necessary depending on how he responds to treatment to get him through this exacerbation. If his symptoms improve, he will be sent home with his oral prednisone and continued use of his inhaler. I would instruct his mother to follow up with in the office in a week to evaluate his asthma and medication therapy. In the meantime, I would have his mom and Johnathan keep an asthma diary recording triggers that bring on symptoms as well as alleviating factors. I would also help them create the Asthma Action Plan that was previously mentioned, as this will be important to help manage Johnathan’s day to day symptoms. References Dinakar, C., & Chipps, B. E. (2017). Clinical Tools to Assess Asthma Control in Children. Pediatrics,139 (1). doi:10.1542/peds.2016-3438 Fanta, C. (2019, January 8). Patient education: Asthma treatment in adolescents and adults (Beyond the Basics). Retrieved from - treatment-in-adolescents-and-adults-beyond-the-basics Sawicki, G., & Haver, K. (2017, November 29). Acute asthma exacerbations in children: Inpatient management. Retrieved from - exacerbations-in-children-inpatient-management
Woo, T. & Robinson, M. (2015). Pharmacotherapeutics for Advanced Practice Nurse Prescribers with Davis Plus eResourses, 4th ed. F.A. Davis Company. ISBN: 9780803638273
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- Fall '16