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Infant With Respiratory Difficulties Essay

1118 words - 4 pages

Name of Body System and Developmental Age: Infant Respiratory

Patient Presentation: Include historical information including family history and genetic considerations, background as well as symptomology and tentative diagnosis.
Maria is a six month old infant girl who was born at 40 weeks weighing 7 lbs. 4 oz. and 21 inches long. She is developmentally on track and up to date on all immunizations. Maria currently weighs 15 lbs. and 5 oz. and is 24 inches. She is breast feed and eats baby cereal in the morning. She is starting to be introduced to baby food and finger foods such as baby crackers. Her parents are married and work leaving Maria in daycare 3 days a week. They attend church on Sunday mornings and stays in the nursery during services. Her mother had gestational diabetes which was controlled during the pregnancy. Mom had a bought of post-partum depression which is now controlled by citalopram. Her mother has no other significant health history and neither does the father. Maria is currently an only child. See pathophysiology and diagnosis below. She takes no regular medications.

Questions you MUST answer, providing scholarly sources for rationales.
1. Thorough and concise pathophysiology description showing connection to manifestations or signs and symptoms of the client.
Maria was brought to the pediatrician today for symptoms of runny nose, cough, fever 101.1, cough, and wheezing, decreased feedings, fussy and restless and has had a dry diaper for the last 10 hours. The initial symptoms began 5 days ago but worsened overnight. Mom has treated the fever with infants Tylenol. Temp 101.1 P 165 R 40.The doctor is sending Maria home rotating Tylenol and ibuprofen every 4 hours, give pedialyte in between feedings, suctioning secretions as needed, humidifier, and to the er if symptoms worse or no wet diapers in 8 hours for IV fluids.

2. Focused physical assessment findings for this client. Include normal results and as well as abnormal based on the pathological disease process.
Normal Assessment findings for body system Expected assessment findings for client with Pathophysiology causing change in findings
According to Murray, Zentner, and Yakimo (2009) the normal vitals is pulse about 115 bmp, temp 99.4, BP 90/60, respirations 32 minute. All the symptoms above and may also have sore throat, sneezing, possible eye or ear drainage, listless, poor breath sounds, tachypnea, RSV effects the epithelial cells of the respiratory tract. The bronchiolar mucosa swells, and Lumina are subsequently filled with mucous and exudate. (Hockenberry and Wilson, 2009)


3. Laboratory and radiological findings of patient with this type of disorder. Rationale for the changes in the findings. (Must include a minimum of three).

Lab or radiological test Normal findings Expected findings in client with this disorder Rationale for change in findings
Nasal secretions to test for RSV Negative Positive The test is anti-body or...

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