Case study Eight-year-old Tommy Hill was admitted last night with… Case study  Eight-year

Case study Eight-year-old Tommy Hill was admitted last night with… Case study  Eight-year-old Tommy Hill was admitted last night with wheezing, difficulty in breathing, and coughing. He was anxious and restless. He was accompanied by his mother who stated, “This always happens when he gets a cold.” Tommy has had numerous lung related illnesses requiring hospitalization during the last two years. This is his third visit this month to the emergency room with an asthma attack. His mother has remained with him all night, but as the nurse enters the room today, she says, “I’ll be back in a second, I have to have a cigarette.”Focus Questions1.  What data does the nurse need today during the interview and the initial morning assessment?2.  What are possible asthma triggers Tommy and his mother need to be aware of? Aerosol Ventolin treatments have been decreased from every hour to every four hours. Oral Prelone: 1 tsp. t.i.d. p.o. is started this morning. 02 saturation is 94% on room air. Rhonchi are scattered throughout the lung field.Focus Questions1.  What effect do Ventolin and Prelone have on Tommy’s lungs, and what side effects should the nurse be watching for?2.  What evaluation criteria would indicate improvement in his condition?3.  If improvement does not occur and he progresses to status asthmaticus, what should the nurse anticipate would be done? Tommy improves and is ready for discharge tomorrow. The nurse has scheduled a ffine with the mother to discuss how she can help Tommy prevent future attacks and better care for him as he learns to cope with this disease. In working with Tommy’s mother during hospitalization, the nurse learns that his mother is a visual learner and appears to be somewhat slow in grasping material. Tommy will be on Ventolin and Intal inhalers, and daily monitoring of his peak expiratory flow rates (PEFR).Focus Questions1.  Use a visual diagram that explains the pathophysiology of asthma that could be used with Tommy’s mother, since she is a visual learner.2.  How could the nurse best teach Tommy’s mother about his medications, asthma triggers, and care during his attacks?                                                                                                                         Cases                                                                                                       3.  How much responsibility can Tommy assume for his own disease management?4.  How might the nurse teach Tommy to use an inhaler correctly? Health Science Science Nursing NURS 2300 301 Share QuestionEmailCopy link Comments (0)

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