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NSG 6005 Week 4 Discussion

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NSG 6005 Week 4 Discussion

            Johnathan is a 7-year-old child weighing 45 pounds with a history of mild intermittent asthma. His mother reports of him experiencing symptoms of a viral upper respiratory infection for the past 2 to 3 days, which started with a runny nose, cough, and low-grade fever of 101.0 F. Despite the administration of an albuterol via metered-dose inhaler (MDI) at bedtime and early morning, his cough and wheezing appear worse and his mother states that he is experiencing difficulty taking deep enough breaths to inhale his albuterol despite using the spacer. This is noted to be his first exacerbation of the school year. Currently he is afebrile, respiratory rate 36 bpm with diffused expiratory wheezes and mild retractions. Pulse oximetry readings are 93% on room air. With exception of breath sounds, his examination is within normal limits.

What is the appropriate pharmacological therapies to be prescribed for Johnathan?

            What information is necessary to provide to Johnathan and his mother regarding asthma exacerbations?

            .

What is an appropriate clinical assessment tool to be used with Johnathan?

           

?

           

How would you as the NP address his mother’s concern regarding providing an inhaler at school?

            What is an appropriate plan of care for Johnathan?

            An appropriate plan of care for Johnathan is to keep a written log of symptoms and PEFs so

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NSG 6005 Week 4 Discussion Johnathan is a 7-year-old child weighing 45 pounds with a history of mild intermittent asthma. His mother reports of him experiencing symptoms of a viral upper respiratory infection for the past 2 to 3 days, which started with a runny nose, cough, and low-grade fev...
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