SOLVED817

Tamara is a 14 yo Caucasian female who has been regularly evaluated in the pediatric clinic for chronic asthma. Today, Tamara’s mother is with her for a routine checkup. Tamara has required 2 visits to the ER for severe wheezing in the month since her last clinic visit. She uses an Albuterol inhaler as needed. The physical examination reveals patient is no acute distress and breath sounds are clear. Vital signs are B/P 126/82, P 84, RR 20. Skin is warm, dry, and pink. Able to speak clearly and seems calm. The nurse learns that each ER visit occurred after school hours. Tamara experienced severe shortness of breath and wheezing that was unrelieved by rest of use of her inhaler. ER treatment consisted of oxygen administration, IV fluids, Benadryl, and steroids. Each ER visit lasted approximately 6 hours and breathing was restored to nearly normal at discharge and she was prescribed course of Prednisone. When Tamara was asked about precipitating factors she relies, “I know they happened on days that we had gym, but I don’t usually have a problem with that”. Tamara also volunteers she has missed 2 days of school and she is working on an art project
SCIENCE
HEALTH SCIENCE
NURSING

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