Recent Question/Assignment

2.4.1 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:
30/04/2020, 23:59 hrs
Submission:
Refer to section 2.5 of the Learning Guide - General Submission Requirements
Format:
Short answer questions based on a case study of an acute life-threatning and/or traumatic complex health condition.
Length:
1250 words
Curriculum Mode:
Wordcount
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.
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 references from the past 5 years including journal articles, textbook material or other appropriate evidence based resources.
Aim of assessment
The purpose 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 pathophys- iological 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 asthma.
Casestudy
Poppy is a 9 year old female, weight 40Kg.
She presented to ED with worsening respiratory symptoms over the past few hours. Her parents state she is unable to talk in full sentences or undertake a peak flow. In ED Poppy has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. She was admitted to ICU due to her deteriorating respiratory function with a diagnosis of acute exacerbation of asthma.
EXCERPT OF RELEVANT ICU NOTES
Past History
Diagnosed with asthma age 2 (infrequent intermittent asthma).
Current medications: - Ventolin PRN. IUTD (immunisations up to date)
Nursing Assessment
A. Clear, speaking in single words
B. RR 42bpm, SpO2 87% RA, 92% on 6LPM O2 + nebuliser, auscultation decreased AE bibasally, inspiratory and expiratory wheeze
C. HR 160bpm, ST, peripherally warm D. GCS 14/15 (E4, V4, M6)
E. Accessory muscle use, shoulder shrugging on inspiration, tracheal tug
F. IVF NaCl 53 ml/hr G.
a. Mg- low 0.60mmol/L (0.70-1.10mmol/L) all other pathology is normal.
b. BGL 9.0mmol/L
c. Beta-agonist- Salbutamol
d. Anticholinergic - Atrovent
e. IV Hydrocortisone
Plan
f. ABG shows respiratory acidosis, (PH 7.32, PaCO2 49, PaO2 70, HCO3 27, BE -2.1, Lactate
1.4)
- Keep SpO2 92-95%%
- Beta- antagonist Salbutamol continuous via nebuliser
- Anticholinergic Ipratropium bromide (Atrovent) 500ug 4/24
- Hydrocortisone 100mg 6/24
- MgSO4 6.4mmol/20 minutes
- IVF 53ml/hr
- Repeat ABGs in 1hour
- Monitor BGL
- Peakflow /spirometry
Question 1
Explain the pathogenesis causing the clinical manifestations with which Poppy presents.
Question 2
1. Sit Poppy in a High Fowlers position
– How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratory distress?
2. Apply and titrate oxygen
– What oxygen delivery device will you use?
– Why did you choose this device?
– How does providing supplemental oxygen work and, how will it assist Poppy?
Question 3
For each medication below explain
– The mechanism of action.
– Why your patient is receiving this medication in relation to her symptoms and diagnosis?
– What are the nursing considerations for this medication?
– What clinical response you expect?
– What continuing clinical observations will you need to undertake?
Salbutamol
via nebuliser
Hydrocotison
eIV
Ipratropium Bromide via nebuliser
Minimum of 6 references needed…from the past 5 years

Editable Microsoft Word Document
Word Count: 1530 words including References

Title: Intervention in acute asthma exacerbation


Buy Now at $19.99 USD
This above price is for already used answers. Please do not submit them directly as it may lead to plagiarism. Once paid, the deal will be non-refundable and there is no after-sale support for the quality or modification of the contents. Either use them for learning purpose or re-write them in your own language. If you are looking for new unused assignment, please use live chat to discuss and get best possible quote.

Looking for answers ?


Recent Questions

I need to know the charges of this assignment. Both Word questions need to be answered and the Packet tracer version 8 file is requiredNetworking AssignmentDesigning a solution for Small Office Home Office...ASSESSMENT BRIEFSubject Code and Name ACCT6001 Accounting Information SystemsAssessment Assessment 2 – Business Process AnalysisIndividual/Group Group of 3-4 studentsLearning Outcomes (a) Analyse and articulate...MODULE NAME: MODULE CODE:WEB DEVELOPMENT (INTRODUCTION) WEDE5010/d/pWEB DEVELOPMENT (INTRODUCTION) WEDE5020/dASSESSMENT TYPE: POE (PAPER )TOTAL MARK ALLOCATION: 100 MARKSTOTAL HOURS: A minimum of 30 HOURS...Figurative languageDescriptionMain plotTwistThemeIt's a narrative story so please make the characters express more emotion. Preferably in year 9-10 standard, make it about a type of social issue. E.g...College of Business, Hospitality and Tourism StudiesSchool of Accounting and LawDepartment of AccountingACC803: Advanced Financial ReportingSemester 1 | 2021__________________________________________________________________CASE...PhysicsIA3Student nameStudent numberTeacherMarking summaryCriterion Marks allocated Provisional marksResearch and planning 6Analysis and interpretation 6Conclusion and evaluation 6Communication 2Overall20ConditionsTechnique...CHAPTER 1 GLOBAL MARKETING IN THE FIRM39CASE STUDY 1.1Build-A-Bear Workshop (BBW): how to manage the global comeback?In spring 2010 the founder of BBW, Maxine Clark, is enjoying one of the beautiful May...Show All Questions