CASE STUDY # 2 – 2 YEAR OLD MALE WITH SEIZUREPATIENT PRESENTATION:            At 8:50 pm, you are di

CASE STUDY # 2 – 2 YEAR OLD MALE WITH SEIZUREPATIENT PRESENTATION:            At 8:50 pm, you are dispatched to a residence at 435 Phil. Wilson Street for a 2 year old male who is having seizure. Your response time to the scene is approximately 15 minutes, so you ask the dispatcher to send a first responder unit to the secure.            You enter the residence and find an ill appearing child sitting on his mother’s lap. He is conscious, crying and clinging to his mother. As you perform an initial assessment, the child’s mother tells you that her son has been ill for the past 12 hours. Then suddenly stopped responding to her and had a convulsion.   Initial assessments are as follows:            Level of consciousness – conscious, crying, clinging to mother.            Chief complaint: apparent seizure   Airway and breathing – patent airway, respirations increased and unlaboured   Circulation – radial pulse – rapid and regular, skin flushed and warm, capillary refill in 2 seconds. QUESTION:What treatment is indicated for this child? explain RATIONALE:  CASE STUDY # 3 – 3 YEAR OLD MALE WITH RESPIRATORY DISTRESS. PATIENT PRESENTATION:             At 2:20pm, you are dispatched to 518 East Bandora Street for a 3-year old male with respiratory distress. You have responded several times to this address for the same child, who is on a home ventilator. You and your partner proceed to the scene with a response time of appears.             You arrive at the scene at 2:27pm, and are met at the door by the child’s mother. As you are being escorted to the child’s bedroom, the mother states that her son, who has tracheostomy tube and is on a home ventilator, suddenly began experiencing respiratory distress about 20 minutes ago. She further states that she suctioned the tracheostomy tube, but this did not seen to correct the problem. As you perform an initial assessment, your partner obtains additional information from the mother.             Initial assessments are as follows: Level of consciousness – Intermittently responsive, according to his mother this is his baseline. Mental status – he experienced a closed head injury 9 months ago. Chief complaint – according to the mother. “He suddenly began working really hard to breathe about 20 minutes ago.” Airway and breathing – tracheostomy tube in place, child on a home ventilator, sternal and intercostal retractions are present. Circulation – radial pulses, rapid and regular, skin cool and dry, no gross bleeding. QUESTION:What are the most common causes of respiratory distress in children with tracheostomy tubes? How should you proceed with your assessment? explain RATIONALE:              Health ScienceScienceNursing NURSING 420 Share QuestionEmailCopy linkComments (0)

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