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NURS2003
AU
Flinders University
Clinical Scenario 2 – Benji Smith Benji is an 11-year-old boy with asthma diagnosed at age 7. His usual asthma treatment is salbutamol 2 puffs prn. For the last week Benji has been experiencing an upper respiratory tract infection (bacterial) with unresolved cough and breathlessness. He has been taking cough syrup and salbutamol 2 puffs every 4 hours but this has not improved his symptoms. Admission to the ED Benji presented to hospital with a moderate exacerbation of asthma. On presentation he was speaking in phrases and had an audible wheeze. His mother who was also present provided a history of Benji’s asthma. Both Benji and his mother initially reported that Benji was well until he caught a cold. However, when probing specifically about his asthma symptoms and overall control Benji acknowledged that he had difficulty playing sport especially during his soccer games on Saturdays; he wheezed and coughed when laughing, he avoided running around with his mates to prevent symptoms. 30 minutes after admission Benji’s mother alerts medical staff to assist as Benji appears to be in increased distressed with increased agitation/distress, tracheal tug and moderate accessory muscle use is tachycardic and is only able to speak in single words with great difficulty. Admission observations Temperature 38.6 degrees C Pulse rate 110 beats per minute Respiratory rate 24 breaths per minute SpO2 94% on room air 30 Minutes post admission Temperature 38.4 degrees C Pulse rate 130 beats per minute Respiratory rate 30 breaths per minute SpO2 90% on air Medical orders Salbutamol 100 µg 12 puffs via a metered dose inhaler (MDI) 20 minutely for 3 times Oral Prednisolone 1mg/kg (maximum 60mg) initially continuing for 1 – 2 days If SpO2 under 93% administer 2L of oxygen Ipratropium 8 puffs (20µg/puff) - immediately after each Salbutamol dose via spacer
Assignment2:Exploration of Pathophysiology and Pharmacology Relating to a Case
Assignment to be constructed in a logical format displaying an understanding & application of knowledge learned. Please pay attention to the marking rubric and ensure your paper covers all of the areas listed This assessment focuses on the clinical knowledge and critical thinking you have gained in the topic and your ability to apply it using critical thinking. • You need to demonstrate that you understand the concepts of Pathophysiology and Pharmacology and their effects on the human body.
The use of headings is accepted and encouraged in this topic.Please set out your assignment clearly as it makes it much easier for tutors to read and assess your work accurately. Assessment Criteria Detailed explanation of Pathophysiology and Pharmacology related to the case patient Demonstrate a clear understanding of the pathophysiology of the patient in the case study. Identify the correct anatomy and physiology of the disease of the patient in the case study and link this to the pathophysiology behind the disease of the patient in the case study Demonstrate a clear understanding of the pharmacology prescribed to the patient in the case study. Discuss the pharmacokinetics and pharmacodynamics of the pharmacology for the patient in the case study. Explanation of three (3) signs/symptoms the case presented. Discussion of (3) medications related to the Pathophysiology of the patient in the case patient. Identify three (3) appropriate signs/symptoms as related to the patient in the case study. Accurately explain these three (3) signs/symptoms as related to the patient in the case study. Display a clear,succinct understanding of the signs/symptoms and their connection to the pathophysiology of disease as appropriate to the patient in the case study. Identify three (3) relevant pharmacological (medications) interventions as presented in the case study. Accurately explain these three (3) medications as related to the patient in the case study.Display a clear, succinct understanding of the signs/symptoms and their connection to the pharmacology of disease as appropriate to the patient in the case study- including discussion regarding ADME. NURS2003 Pathophysiology &Pharmacology 2020 Assessment2: Written Paper -Case Study Critical Thinking and RationaleThis will be demonstrated throughout the Case Study (not a separate paragraph/section). Provide clear rationales that support the links between the pathophysiology and pharmacology of the case study. Apply these rationales to the context and theory related to evidence-based practice (EBP). Support rationales with appropriate theory as displayed through the academic literature.
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