Case Scenario Bronchial Assignment Help: How to Answer This Question
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Original Question
CASE SCENARIO (Bronchial Asthma) A 3-year-old boy presents to the emergency department because for the past 24 hours he has had cough, wheeze, itchiness of the throat and an increasing shortness of breath that began shortly after the onset of a low-grade fever of 37.5 °C and rhinorrhea. He is agitated and talking in short phrases only, with a respiratory rate of 45 bpm, heart rate of 130 beats per minute, and oxygen saturation of 89% with the patient breathing room air. Examination of the chest reveals moderate intercostal and subcostal retractions. On auscultation, the attending nurse noted reduced breath sounds throughout the lung fields with widespread expiratory wheeze. Other than a clear nasal discharge, the remainder of the physical examination reveals no abnormalities. Nursing Problems/ Diagnosis Rationale (Case-related, NANDA Definition) Reference (APA) Ex. Ineffective Peripheral Tissue Perfusion Related to Decreased Hemoglobin Concentration NANDA defined ineffective peripheral tissue perfusion as decrease in blood circulation to the periphery which may compromise health. It was shown in the client’s CBC result that her hemoglobin level is 8.3 g/dl which is below the normal range. Low hemoglobin levels diminish oxygen uptake at the alveolar-capillary membrane and oxygen delivery to the tissues. When impaired tissue perfusion becomes chronic, it can cause tissue or organ damage; therefore, interventions should center on restoring peripheral blood flow and lowering metabolic demands on the body to avoid further complications. Ineffective Airway Clearance Related to Excessive Mucus Ineffective Breathing Pattern Related to Inadequate Pulmonary Ventilation Impaired Gas Exchange Related to Altered Delivery of Inspired Oxygen
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