Reference no: EM133563950

Case study scenario

You are a Registered Nurse in the paediatric short-stay unit. Upon arrival this morning, you were given a brief handover of Bill, a 21-month-old boy, who was allocated to you. Bill was admitted yesterday through the emergency department following a four-day history of fever, coughing, copious and thick nasal secretion, lethargy, and poor feeding. Bill has a diagnosis of bronchiolitis following a respiratory syncytial virus (RSV) infection. After the handover, you decide to conduct your first observations on Bill and the following were recorded: Breath rate 57 breaths per minute, Temperature 39.5oC, Oxygen saturations 90%, heart rate 148 beats per minute, Blood pressure 105/70mmHg and Capillary refill 2-3 seconds. Bill appears restless, inconsolable, apathetic, and disinterested in his environment. You also noticed increased work of breathing, intercostal retractions and nasal flaring. Shelly, his mother, says Bill is still having feeding difficulties.

Based on the scenario above,

Please provide a general introduction to the case study.

Include the following: a definition of presenting condition, the prevalence of the condition, an overview of the case study and give a clear direction to your essay (signpost).
Discuss the pathophysiology of Bronchiolitis, describe the pathophysiology of the presenting diagnosis and the aetiology of the presenting symptoms.
Discuss the assessments you will carry out on Bill.
Discuss how you will manage Bill.
Explain the health education and promotion you will emphasize on discharge