Make a short-term and long-term planning for this case scenario and… Make a short-term an
Make a short-term and long-term planning for this case scenario and… Make a short-term and long-term planning for this case scenario and also the short-term and long-term evaluation. [ Assessment and Diagnosis are already indicated] Case ScenarioA 3-month old child was brought to the emergency department with a history of severe bluish discoloration while crying followed by collapse. The mother gave a past history of such episodes with spontaneous recovery since birth. On physical examination, the patient showed central cyanosis, PR was 155/min, respiratory rate was 50/min, BP-60/30 mmHg, SPO2- 55%. On auscultation, systolic ejection murmur was found at the left upper sternal border. Lab investigations were within normal limits except elevated hematocrit. ECG showed right axis deviation and right ventricular hypertrophy. Chest X-ray demonstrated boot-shaped heart and pulmonary oligemia. Echocardiography revealed right ventricular outflow obstruction with RVH, non- restrictive ventricular septal defect with right to left shunt and infundibular pulmonary stenosis. ASSESSMENTObjective cues:PR: 155/minRespiratory Rate: 50/minBP: 60/30 mmHgSPO2: 55%Central cyanosis was noted.Lab reports are within normal limits except elevated hematocrit.DIAGNOSIS “Decrease cardiac output as evidenced by hypotension and increase heart rate” REFERENCE: https://applications.emro.who.int/imemrf/Anaesth_Pain_Intensive_Care/Anaesth_Pain_Intensive_Care_2016_20_3_370_371.pdf?fbclid=IwAR2kxtLYSeHPvYJd7hcMp_0z6PllG1SCPbRt8g5lj9djCzW_8oNvoK3e7Wk Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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