Highlights
Task:
Short Answer Exam based on one case study of acute life-threatening and/or traumatic complex health condition
Weight: 35% Type of Collaboration: Individual Due: Week 10, Monday 3rd May 2021, 23:59 hrs Submission: Refer to section 2.5 of the Learning Guide - General Submission Requirements Format: Short answer. Length: 1250 words Curriculum Mode:
Word Count There is a word limit of 1250 words. Use your computer to total the number of words used in your assignment. However, do not include the reference list at the end of your assignment in the word count. In-text citations will be included in the additional 10% word count. If you exceed the word count by 10% (1375 words) the marker will stop marking.
Aim of assessment The aim of this assessment is to enable students to:
1. Demonstrate knowledge by analysing the information provided in the case study. 2. Apply the clinical information provided in the case study and describe this clinical information within a patho-physological and patient focused framework. 3. Discuss nursing strategies and evidence based rationales to manage a patient with an acute episode of asthma. 4. Discuss the pharmacological interventions related to the management of a patient with an acute episode of a patient episode of asthma.
Details You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six refer-ences from the past 5 years including journal articles, textbook material or other appropriate evidence based resources.
Case study Peter is a 10 year old male, weight 45Kg. He presented to ED with worsening respiratory symptoms over the past few hours. His parents state he is unable to talk in full sentences or undertake a peak flow. In ED Peter has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of 02, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. He was admitted to ICU due to his deteriorating respiratory function with a diagnosis of acute exacerbation of asthma.
EXCERPT OF RELEVANT ICU NOTES Past History Diagnosed with asthma age 3 (infrequent intermittent asthma). Current medications: - Ventolin PRN. IUTD (immunisations up to date)
Nursing Assessment A. Clear, speaking in single words B.RR 43bpm, Sp02 87% RA, 92% on 6LPM 02 + nebuliser, auscultation decreased AE bibasally, inspiratory and expiratory wheeze C. HR 162bpm, ST, peripherally warm D. GCS 14/15 (E4, V4, M6) E. Accessory muscle use, shoulder shrugging on inspiration, tracheal tug F. IVF NaCI 54 ml/hr
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