Explain why you chose this nursing intervention

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Reference no: EM134005986

Assignment:

Case study: Peter

Peter is a 10-year-old male, weight 45kg.

He presented to ED with worsening respiratory symptoms over the past few hours. His parents state he is unable to talk in full sentences or undertake a peak flow. In ED Peter 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. He was admitted to ICU due to his deteriorating respiratory function with a diagnosis of acute exacerbation of asthma.

Excerpt of relevant patient notes

Past history

Diagnosed with asthma at age 3 (infrequent intermittent asthma).

Current medications: Ventolin PRN.

IUTD (immunisations up to date).

Nursing assessment

A. Clear, speaking in single words

B. RR 43bpm, SpO2 87% RA, 92% on 6LPM O2 + nebuliser, auscultation decreased AE bibasally, inspiratory and expiratory wheeze

C. HR 162bpm, ST, peripherally warm

D. GCS 14/15 (E4, V4, M6)

E. Accessory muscle use, shoulder shrugging on inspiration, tracheal tug

F. IVF NaCl 54 ml/hr

a. Mg- low 0.60mmol/L (0.70-1.10mmol/L) all other pathology is normal.

b. BGL 9.0mmol/L

c. Beta-agonist- Salbutamol

d. Anticholinergic - Atrovent

e. IV Hydrocortisone

f. ABG shows respiratory acidosis, (PH 7.32, PaCO2 49, PaO2 70, HCO3 27, BE -2.1, Lactate 1.4)

Plan

Keep SpO2 92-95%Beta-agonist Salbutamol continuous via nebuliserAnticholinergic Ipratropium bromide (Atrovent) 500microg 4/24Hydrocortisone 100mg 6/24MgSO4 6.4mmol/20 minutesIVF 54ml/hrRepeat ABGs in 1 hourMonitor BGLPeakflow/spirometryQuestion 2:

Choose One high priority nursing intervention that you will perform for Master Peter:

Briefly explain why you chose this nursing intervention.
Explain how the nursing intervention will alleviate the clinical features of Master Peter using physiological linking.
Describe briefly the impact of not performing the intervention.

Please do not use chat gpt or ai tool to answer this question.also include full refrence list including intext citation less than 5 years old and it has to be academic refrence list.

Reference no: EM134005986

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