Nursing Case Study for Pediatric Asthma
You're watching a preview. 300,000+ students are watching the full lesson.
Included In This Lesson
Study Tools For Nursing Case Study for Pediatric Asthma
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Anthony is a 6-yr-old male patient brought to the pediatric ER with a history of asthma since he came home from the NICU as an infant. He lives with his parents, Bob and Josh, who adopted him after fostering him from age 4 months. They have tried the usual nebulizer treatments but Anthony is not responding as usual, so they brought him for evaluation.
Initial assessment in triage reveals both inspiratory and expiratory wheezes, dyspnea, tachypnea, diaphoresis, and retractions.
BP 70/40 mmHg SpO2 93% on room air
HR 131 bpm
RR 32bpm at rest Temp 38.3°C
What physiologic issue is Anthony suffering from based on the assessment findings?
What signs and symptoms might occur that would show worsening of his condition?
Anthony is pale but not gray. His lips do indicate a very faint bluish tinge. He can speak but it appears difficult.
What medications might the nurse expect the provider to order?
What side effects might occur from the medications ordered?
After administration of racemic albuterol, Anthony now has a RR of 22 and O2 saturation
of 95% on room air. However, the provider decides to admit him to the inpatient
pediatric observation unit. His parents ask if there are ways to keep him from continually being admitted to the hospital.
What are some education topics to bring up to Anthony’s parents?
Upon admission to the inpatient unit, Anthony rests quietly without worsening respiratory distress signs. The inpatient unit nurse has assessed the patient and prepares to administer oral prednisolone.
What does the nurse understand about this medication?
Anthony sleeps during the night shift and the next day, his pediatrician makes rounds and
discusses a change in the severity rating of Anthony’s asthma.
What does the nurse know about asthma severity and how it is determined?
Bob and Josh are interested in meeting with respiratory therapy for assistance with inhalers. They say that Anthony has trouble using inhaler devices.
Inviting respiratory therapy to provide parent teaching is an example of what? How can this department help the family?
After lunch, Anthony is ready to be discharged. His parents verbalize gratitude to the staff and thank the team for helping with education.
What can the nurse help Bob and Josh start to establish to try to help them with Anthony’s condition?
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Transcript
Hey everyone. My name is Abby. We’re going to cover a case study today about pediatric asthma. Let’s get started. Anthony is a six year old male patient brought to the ER with a history of asthma. Since he came home from the NICU as an infant, he has lived with his parents, Bob and Josh, who adopted him after fostering him from the age of four months old. They have tried the usual nebulizer treatments, but Anthony is not responding as usual. So they brought him in for evaluation. Upon initial assessment, Anthony’s lungs had both expiratory and inspiratory wheezes, dyspnea, tachypnea, diaphoresis, and retractions. Let’s take a look at his vital signs:
his blood pressure is 70/40 mmHg heart rate of 131 beats/minute, respiratory rate of 32 beats per minute, oxygen saturation of 93% on room air, with a temp of 38.3 degree Celsius. Now that we’ve looked at this information, let’s look at our critical thinking checks number one and two below.
Great job. Anthony is pale, but not gray. His lips do indicate a very faint, bluish tinge. He can speak, but it does appear difficult. Now that we have these results, let’s take a look at critical thinking checks number three and four below.
Excellent job. After administration of albuterol, Anthony now has a respiratory rate of 22 breaths per minute and an oxygen saturation of 95% on room air. However, the provider does decide to admit him to the inpatient pediatric observation unit. His parents ask if there are ways to keep him from continually being admitted to the hospital. Let’s take a look at critical thinking check number five below.
Great job. Upon admission to the inpatient unit, Anthony rests quietly without worsening respiratory distress signs. The inpatient unit nurse has assessed the patient and prepares to administer oral prednisone. With this in mind, let’s take a look at critical thinking check number six.
Great job looking at those critical thinking checks. Anthony sleeps during the night shift and the next day, his pediatrician makes rounds and discusses a change in the severity rating of Anthony’s asthma. With this in mind, let’s take a look at critical thinking check number seven below.
Great work on those critical thinking checks. Bob and Josh are interested in meeting with respiratory therapy for assistance with inhalers. They say that Anthony has trouble using inhaler devices. With this in mind, let’s take a look at critical thinking check number eight below.
Great job. After lunch, Anthony is ready to be discharged. His parents verbalized gratitude for the staff and thanked the team for helping with education. With this in mind, let’s take another look at the critical thinking checks. This is number nine below.
Great job, everyone! This wraps up our case study on pediatric asthma. Please take a look at the attached study tools and test your knowledge with practice quiz. We love you guys, now go out and be your best self today and as always, happy nursing!
References:
Asthma in children younger than 12 years: Overview of initiating therapy and monitoring control
Authors:Gregory Sawicki, MD, MPHKenan Haver, MD update May, 2021; Patient education: Asthma treatment in children (Beyond the Basics)
Authors:Gregory Sawicki, MD, MPHKenan Haver, MD update Nov 2021; Treatment of intermittent and mild persistent asthma in adolescents and adults
Author:Christopher H Fanta, MD, updated Sept, 2021
Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
BASICS & MORE
Concepts Covered:
- Labor Complications
- Microbiology
- Respiratory Disorders
- Infectious Disease Disorders
- Acute & Chronic Renal Disorders
- Anxiety Disorders
- Cardiac Disorders
- Pregnancy Risks
- Basics of NCLEX
- Renal Disorders
- Emergency Care of the Cardiac Patient
- Disorders of Pancreas
- Noninfectious Respiratory Disorder
- Sexually Transmitted Infections
- Respiratory Emergencies
- Studying
- Central Nervous System Disorders – Brain
- Musculoskeletal Disorders
- Cardiovascular Disorders
- Shock
- Immunological Disorders
- EENT Disorders
- Perioperative Nursing Roles
- Test Taking Strategies
- Intraoperative Nursing
- Medication Administration
- Postoperative Nursing
- Preoperative Nursing
- Terminology
- EENT Disorders
- Emergency Care of the Trauma Patient
- Adult
- Understanding Society
- Communication
- Substance Abuse Disorders
- Lower GI Disorders
- Postpartum Complications
- Oncologic Disorders
- Neurologic and Cognitive Disorders
- Basic
- Reproductive System
- Emotions and Motivation
- Prenatal Concepts
- Prioritization
- Neurological
- Psychological Emergencies
- Concepts of Mental Health
- Concepts of Pharmacology
- Note Taking
- Respiratory System
- Infectious Respiratory Disorder
- Labor and Delivery
- Statistics
- Personality Disorders
- Pediatric
- Neurological Emergencies
- Learning Pharmacology
- Concepts of Population Health
- Circulatory System
- Urinary Disorders
- Cognitive Disorders
- Newborn Complications
- Documentation and Communication
- Legal and Ethical Issues
- Integumentary Disorders
- Tissues and Glands
- Community Health Overview
- Vascular Disorders
- Developmental Considerations
- Developmental Theories
- Depressive Disorders
- Factors Influencing Community Health
- Oncology Disorders
- Musculoskeletal Trauma
- Integumentary Disorders
- Musculoskeletal Disorders