Case Case study: Allergies and Asthma The school nurse is reviewing the medications of Dante,a fourth grader who has multiple allergies, including a severe nut allergy. Dante has asthma also and has been ordered the following metered dose inhalers: Ventolin (Salbutamol), 2 puffs, PO, TID, to be given at 0600, 1400 and, 2200. Atrovent (Ipratropium Bromide), 2 puffs, PO, TID, to be given at 0600, 1400 and, 2200. Flovent (Fluticasone), 2 puffs, PO, BID, to be given at 1000 and 2200 . 1. It is 2200 and your client should receive all three puffers. In what order would you administer these medications? 2. If the patient developed acute asthma induced by beta-blockers, explain why he might not respond to being treated by a drug such as salbutamo
1. The correct of sequence of inhaler will be :-
- Atrovent
- Ventolin
- Fluticasone
Because first anticholinergic is given then Beta 2 agonist and then corticosteroids
2. Beta blockers cause bronchospasm that's why the patient had asthma due to it and it outweights the benefits of salbutamol.
Case Case study: Allergies and Asthma The school nurse is reviewing the medications of Dante,a fourth...
Case study: Allergies and Asthma The school nurse is reviewing the medications of Dante,a fourth grader who has multiple allergies, including a severe nut allergy. Dante has asthma also and has been ordered the following metered dose inhalers: Ventolin (Salbutamol), 2 puffs, PO, TID, to be given at 0600, 1400 and, 2200. Atrovent (Ipratropium Bromide), 2 puffs, PO, TID, to be given at 0600, 1400 and, 2200. Flovent (Fluticasone), 2 puffs, PO, BID, to be given at 1000 and 2200...
The school nurse is reviewing the medications of Dante,a fourth grader who has multiple allergies, including a severe nut allergy. Dante has asthma also and has been ordered the following metered dose inhalers: Ventolin (Salbutamol), 2 puffs, PO, TID, to be given at 0600, 1400 and, 2200. Atrovent (Ipratropium Bromide), 2 puffs, PO, TID, to be given at 0600, 1400 and, 2200. Flovent (Fluticasone), 2 puffs, PO, BID, to be given at 1000 and 2200 1. What education would be...
NUR 254 Pediatric Case Study-Asthma-Student L.S. is a 7-year-old who has been brought to the emergency department (ED) by his mother. She immediately tells you he has a history of ED visits for his asthma. He uses an inhaler when he wheezes, but it ran out a month ago. She is a single parent and has 2 other children at home with a babysitter. Your assessment finds L.S. alert, oriented, and extremely anxious. His color is pale, and his nail...
Case study Poppy is a 9 year old female, weight 40Kg. She presented to ED with worsening respiratory symptoms over the past few hours. Her parents state she is unable to talk in full sentences or undertake a peak flow. In ED Poppy has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X- ray shows hyperinflation of both lung fields. She was admitted to ICU due to her...