Scenario E.M, a 5-month-old girl, is brought to the emergency department (ED) with respiratory distress, hypoxia, and fever.

As Director for Public Relations and Ethics for County Hospital, one of your principal duties is to organize and chair the hospital's ethics committee.
January 6, 2020
CH03: The Human Body: Are We Really What We Eat? Focus Figure 3.12: Small Intestine Structure and Function ileocecal valve
January 6, 2020

Scenario E.M, a 5-month-old girl, is brought to the emergency department (ED) with respiratory distress, hypoxia, and fever.

Scenario E.M, a 5-month-old girl, is brought to the emergency department (ED) with respiratory distress, hypoxia, and fever. Her parents state that she has had mild cold symptoms for a few days. She has breastfed poorly over the last few days, with a decreased number of wet diapers. You take her vital signs and complete an initial assessment. Chart View Vital Signs 130/72 mm Hg 83 breaths/min 188 beats/min 38.4° C (101.1° F) Blood pressure Respiratory rate Heart rate Temperature Spo, Weight 88% on room air 8 kg Initial Assessment Alert, fussy; consoles briefly; anterior fontanel soft and slightly depressed Tachycardia; capillary refill less than 3 seconds Upper airway congestion; coarse cough; tachypnea, transient bilateral wheezing; coarse rhonchi and slightly decreased breath sounds at bases; mild intercostal retractions Positive bowel sounds; last bowel movement yesterday Decreased urine output (per history); Neurologic Cardiovascular Respiratory Gastrointestinal Genitourinary no urine output in last 4 hours No rashes; slightly flushed Mucous membranes “sticky”; decreased tearing Skin Other Emergency Department Orders Acetaminophen (Tylenol) 80 mg PO for feverx 1 dose Start IV and administer normal saline (NS) bolus 20 mL/kg IV bolus over 30 minutes Oxygen to keep saturation greater than 93 % Nebulizer trial of albuterol (Proventil) 2.5 mg STAT 1 dose

 

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