Case Study You are working in the emergency department when a… Case StudyYou are working

Case Study You are working in the emergency department when a… Case StudyYou are working in the emergency department when a 12-year-old boy presents with chest pain and shortness of breath. History includes 4 days of cold and cough symptoms. He has missed a week of school and states that he has no energy despite being inactive; the patient is an athlete, so he is generally very active. He has been well except for a viral infection during the winter and has no previous history of asthma or other health issues. His mother is very concerned about his breathing and pain. PAT assessment is completed with abnormal findings for appearance, breathing, and circulation. Vital signs are taken: heart rate is 135 beats per minute, respiratory rate is 45 breaths per minute, blood pressure is 90/65 mm Hg, temperature is 38.0°C, oxygen saturation is 89% on room air. Patient appearance is thin and pleasant in nature; he can speak in complete sentences without difficulty. He has tachypnea with mild retractions. He is slightly pale in color with dusky nail beds, capillary refill >2 seconds. Initial assessment:• A: Patent• B: Intermittently shallow and rapid respiratory rate• C: Pale; pulse rapid, thready, and weak• D: Awake/alert, GCS 15• E: No signs of injury1. What is your general impression of this patient?2. What are your initial management priorities and important next actions?What is your impression of this patient now? Health Science Science Nursing SCIENCE / RSPT Share QuestionEmailCopy link Comments (0)

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