Question

Please help

Please help to answer these question

Bradley is a 5 year old with a history of moderate asthma who

was started on oral steroids yesterday after visiting his

pediatrician for an asthma exacerbation. In addition, he has been

receiving aerosol treatments every 4 hours since yesterday. He

received his last levalbuterol nebulizer treatment 3 hours ago. His

mother has brought him back to the office because she is

concerned that he does not seem to be getting any better.

1. How does levalbuterol work? What is a nebulizer?

2. What is concerning in this scenario?

3. What might you say to the mother?

Baby Mitchell, 2 months old, is brought to the hospital by his

mother. His mother states "It started this morning, he just gets so

tired when he eats, and sometimes when he is nursing he has

bluish color around his lips." Mitchell is fussing during triage.

1. What concerns you with the above scenario? (what could

be going on-- differential diagnoses? which systems are you

concerned with? what part of the story from mom is

significant)

Mitchell is diagnosed by EKG with SVT (supraventricular

tachycardia).

2. What might you anticipate next? (what would you do next,

or what my the doctor order next?)

Jabril is the 3 year old and has croup from our previous

discussion post. You note stridor, increased work of breathing,

and barking cough. You're keeping him calm and giving blow by

humidified oxygen. His dad has been treating fever at home, but

it's time for another dose of medication. Jabril weighs 33 pounds.

What are your medication doses?

1. Order: Dexamethasone 0.6mg/kg

2. The vial is dexamethasone, 10mg/1 mL- how much do you

draw up?

3. Order: Acetaminophen 15mg/kg

4. The container is 160mg/ 5mL- how much do you draw up?

5. What dose did his Dad give at home of Ibuprofen (10 mg/

kg)?

6. The container is 100 mg/ 5 mL- how much did he draw up?

Answer 1

ans-2 weight of Jabril = 33 pounds (as 1 lbs=0.453 kq = 14.968 kg ř 15 kg (round up figure) order dose =0.6 mg lkg. Desired dose = weight x ordered dose - 15x0.6 - 9 mg tkg. child will have amg of dexamethasone dose iiy vial contains long / ml child has to be gwen 9 mg If 10 mg in lm Then 9 mg in xml . 1xz 9x1 . x = 93/10 =0.9 you will drawo.gml in syringe Ordered dose = 15 mg/kg. Desired Amount = weight x Dose = 15 x 15 = 225 mg child will have 225 mg of Acetaminophen. ivy If the container contains you will draw - 160 mg in 5 ml ml approx Then 225 mg in xml in Syringe. 1. 225x5 = x+ 160 . x= 225x5 + 160 = 7.0 31

Vy Available Dose - 10 mg/kg Desired dose - WFX available dose = 15x10 = 150 mg Dad should give ibuprolen so my at home, 7 container of 100 mg in 5m) Then 150 mg in xml . 100 x x = 5X150 a = 5X150 Lora x = 7.5ml He should draw up 7.5 ml of Ibuprofen.