Case Study On A Three Year Old With Bronchiolitis

2035 words - 9 pages

This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.
Identification of specific key issues:
Liam is a previously healthy boy who has experienced rhinorrhoea, intermittent cough, and poor feeding for the past four days. His positive result of nasopharyngeal aspirate for Respiratory Syncytial Virus (RSV) indicates that Liam has acute bronchiolitis which is a viral infection (Glasper & Richardson, 2010). “Bronchiolitis is the commonest reason for admission to hospital in the first 6 months of life. It describes a clinical syndrome of cough tachypnoea, feeding difficulties and inspiratory crackles on chest auscultation” (Fitzgerald, 2011, p.160). Bronchiolitis can cause respiratory distress and desaturation (91% in the room air) to Liam due to airway blockage; therefore the infant appears to have nasal flaring, intercostal and subcostal retractions, and tachypnoea (54 breathes/min) during breathing (Glasper & Richardson, 2010). Tachycardia (152 beats/min) could occur due to hypoxemia and compensatory mechanism for low blood pressure (74/46mmHg) (Fitzgerald, 2011; Glasper & Richardson, 2010). Moreover, Liam has fever and conjunctiva injection which could be a result of infection, as evidenced by high temperature (38.6°C) and bilateral tympanic membranes erythema (Thanathanee & O'Brien, 2011; Youngman, 2010). Furthermore, Liam may have a risk of dehydration as evidenced by sunken anterior fontanel, tacky mucous membranes on lips, and diminished urine output (dry nappies) (Glasper & Richardson, 2010; Harris, Mazza, Turner, & Wilkinson, 2008). Dehydration may occur due to poor feeding, as respiratory distress causes fatigue which reduces Liam’s ability of sucking. (Nagakumar & Doull, 2012). Tachypnoea, coughing and fever also increase water loss (Nagakumar & Doull, 2012). Liam may have a risk of further infection due to his young age (three months old), increased respiratory secretions and hospitalisation (Axton & Fugate 2009). Parental stress and anxiety could be a nursing problem as Liam’s mother may have deficit knowledge of the disease (Pillitteri, 2010).
Description of the assessment of the child’s needs:
There are a number of assessments that need to be carried out after Liam’s admission in the hospital. First of all, Liam’s health history, including past health history, family history, and environmental history, may need to be collected to identify the cause and risk factors of Liam’s illness (Crisp, Taylor, Douglas, & Rebeiro, 2013). Pillitteri (2010) states...

Find Another Essay On Case Study on a Three Year Old With Bronchiolitis

9 year old boy with testosterone disorder

1366 words - 5 pages A nine-year-old boy is brought into a clinic suspected of having a hypo- gonadism disorder. The physician ordered a test of the boys free testosterone after having considered this was the best option compared to testing the total testosterone. The test results came back at 25.0pg/ml reference range 0.1-3.2pg/ml flagged as high for the boy. Several months later a repeated test showed 28.0pg/ml reference range of 50-210pg/ml adult reference range

Case Study Three

850 words - 4 pages Identification of Ethical Issue S.C. (registered nurse) was paged and asked to tend to her combative patient in the Intensive Care Unit (ICU) and ignored this request. She injected herself in the big toe with Lidocaine, falsely documented medication administration on multiple patients and changed a doctor’s medication order in the computer while being employed at one facility. After being terminated from this facility, and employed at another

A case study on nestle

3325 words - 13 pages price level will induce the other customers to purchase our many products to fulfil their desires because of our quality level provided at reasonable price. ENERGY-DOUBLE cola product has attained a high level within short span of time, which depicts growth in demand as high. Same is case with Red Bull having different flavors. Many consumers doing daily exercise and more mind work purchase this product almost daily according to research made by

A brief comparative study on three Gothic texts

1065 words - 4 pages the amount it made at the box office. This accounts for the many differences it has with the novel as it used many visual features and suspenseful scenes to create a visual stimulus to frighten the audience. Thus, Whale’s film version does not contain many . Burton’s animated film is also a prime example of how the context has a major effect on the end result. Burton’s film was created with animated clay figures, much like ‘

This is an example of a case study done on a nursing home resident with dementia. Includes physical assessment data

2880 words - 12 pages Running Head: Nursing Care StudyNursing Care StudyYour Name Goes HereName of Your College Goes HereGeneral InformationE.S. is a 94 year old female, born July 30, 1909. She is widowed. She is of Catholic religion. She stated that her mother was from Germany and her father was from Ireland. She is an only child, and never finished school because she married at a young age. Her date of admission was July 8, 2002 with the diagnosis of left hip

A Case Study On Seek Ltd

1316 words - 5 pages Department of Tourism, Leisure, Hotel and Sport ManagementBachelor of Business (Hotel Management)Academic Year 2007 Semester-12020MKT Fundamentals of E-commerceA Case study on SEEK LTDIndividual AssessmentSubmitted by: Vicky Patel - s2163251Name of Tutor: RahimDate and Time of Submission: 21st May 2007, 15:00hrsA Case study on SEEK LTD.About Seek Limited and Seek LearningSeek limited (ASX code: SEK) is the leader in the online employment and

A Case Study on Inappropriate Student Behavior

2376 words - 10 pages /intervention in mind based on the data collected in each of the tiers, which must include evidence-based instruction and strategies (Alberto & Troutman, 2013). Case Study – Don and Bill 1. In the case of Don, I do not believe it is justifiable for referral at this time based on the information provided. Although the information states that he has attended three different schools, there is not any information to back up reasons why he is no

A Case Study of a Student with Special Needs

1478 words - 6 pages Case Summary Background It was observed a 5th grade elementary student, that for privacy we will name him J during this case study. He arrived to the school in the second semester of Fourth grade and he has being diagnose under the umbrella of the Autism spectrum from the previous school documentation. J was served by the Especial Education content Mastery (“as known Especial Ed. Classroom”) in period of times during the day, but he was place

Case study of a Child With Aggressive Behavior

2436 words - 10 pages Case studies are a collection of data obtained using various methods gathered on an individual or group to record areas of interest in order to assist with analysis and provide recommendations. The study should include the name of the person, although this should be protected to provide anonymity where appropriate, and a brief description of the subject. The setting where the study is to be performed should be included. The aim of the


2293 words - 9 pages Please cite this Article as : , TARGET COSTING" - A CASE STUDY : Tactful Management Research Journal (Oct ; 2013) KISHOR NIVRUTTI JAGTAP "MONTCLAIR PAPER MILL'S EXPERIMENT WITH Tactful Management Research Journal KEYWORDS: Montclair Paper , organization , management , Manufacturing management . INTRODUCTION Target costing affects profitability of an organization depending on the commitment of management to its use, the constant involvement of


2293 words - 9 pages Please cite this Article as : , TARGET COSTING" - A CASE STUDY : Tactful Management Research Journal (Oct ; 2013) KISHOR NIVRUTTI JAGTAP "MONTCLAIR PAPER MILL'S EXPERIMENT WITH Tactful Management Research Journal KEYWORDS: Montclair Paper , organization , management , Manufacturing management . INTRODUCTION Target costing affects profitability of an organization depending on the commitment of management to its use, the constant involvement of

Similar Essays

Legal Case Study: 62 Year Old Woman With Skin Cancer

1424 words - 6 pages Legal Case Study Following the review of a medical error about a 62-year-old woman with skin cancer who experienced wrong-site surgery I will summarize the legal and liability aspects of this case, as well as explore the legal and ethical implications of disclosing errors. In addition, I will discuss the pros and cons of having the provider disclose and empathize for the error to the patient. Finally, I will identify ways the nurse leaders can

Pediatrics Case Study Paper: The Case Of The 12 Year Old Boy Who Presented With A Head Trauma

3433 words - 14 pages A.B is a 12 year old, male who presented to the W.C.H.C E.R. department on August 24, 2005 via EMS for a head injury, that was caused by a collision with a car while he was riding his bicycle. He also had a neck appliance/brace, and a large area of bloody hair on the left side of his head, from a laceration he obtained from the accident.Disease Process.A head injury is any trauma that leads to injury of the scalp, skull, or brain. These injuries

Reflective Case Study Of 6 Year Old Boy

2262 words - 9 pages , as the child would need some sort of intervention i.e. a steristrip, glue or suture. When I found the little boy, Jamie, he was 6 year old and sitting quietly on his mother's knee. He looked frightened and his eyes were red as if he had been crying. I introduced myself as an experienced paramedic, but on placement to gain some extra experience in a controlled setting, with the aim to become an Emergency Care Practioner (ECP). I sought permission

A Treatment Plan For A 21 Year Old Male With Schizophrenia

3014 words - 13 pages Case Charles is a 21 year-old Caucasian single male currently residing with his mother and stepfather whom also is Charles’s uncle. Charles graduated high school and due to his illness he receives social security benefits. During a two year period Charles had nine visits to the emergency room resulting in admission to the psychiatric unit. On two admissions Charles left against medical advice, five admissions required a higher level of care