Respiratory Case Study
For this question, please read the following case study and then respond to the questions noted below
Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.
Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.
Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.
- What are the appropriate pharmacological therapies to be prescribed for Johnathan?
- What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
- What is an appropriate clinical assessment tool to be use with Johnathan?
- What are the classification of asthma?
- 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?
Homework Merchants is the premier online academic writing service provider for students of all levels. With highly experienced and qualified writers from Ivy League universities, we guarantee top-notch quality that meets your exact specifications and requirements.
At Homework Merchants, you can find help with any kind of academic task – be it an essay, dissertation or assignment. Whatever the deadline may be, our writers are able to provide timely and accurate results at affordable prices. We also offer editing services, where we review your work after submission to make sure no mistakes have been made in the process of writing.
Our commitment to excellence has enabled us to provide successful results in a variety of disciplines such as business studies, history, psychology and computer science amongst others. With our team of professional editors who review every written piece before submission; rest assured that getting an A+ grade is within your reach!
We believe that having access to high caliber experts makes completing homework tasks easier than ever before! Our team consists mainly of PhD holders from renowned institutions including Harvard University and Yale University who are well-informed about their respective fields and have many years experience helping students achieve success on their assignments. Our customized approach ensures maximum satisfaction for clients by providing them with personalized solutions tailored specifically for their needs – giving them more time to focus on other aspects of academia such as research projects or extra credit activities without worrying about cramming during exam season!
In addition to this, our secure payment system helps keep sensitive information safe while transactions take place quickly; ensuring convenience & safety at all times when using our services! So why wait? Get started today & give yourself a chance towards earning better grades right away with Homework Merchants!