Assignment: Evaluation and Management of Respiratory, Cardiovascular, and Genetic Disorders
Baby Eden was only 1 month old when she presented with difficulty breathing, a high fever, and wheezing. Eden's mother thought her daughter had a common cold, but the baby's illness quickly led to admission to the pediatric intensive care unit. A diagnosis of respiratory syncytial virus (RSV) resulted in a weeklong hospital stay with antibiotic treatments (Azar, 2012). Like RSV, many respiratory disorders such as asthma and pneumonia also present symptoms often identified with common cold and flu viruses. As an advanced practice nurse, you must be able to distinguish between the various respiratory disorders to appropriately diagnose and treat pediatric patients. This is essential because, similarly to RSV, many disorders can quickly develop into a serious health issue.
An advanced practice nurse must know when to diagnose and treat, when to gather additional information prior to a diagnosis, and when to refer for specialized care. Consider 5-year-old Cristian Serrano. After waking up one morning with a fever and rash that covered his body, Cristian's mother took him to his health care provider for examination. He was immediately diagnosed with scarlet fever and sent home with antibiotics. However, Cristian had not been properly diagnosed; his illness was actually the result of Kawasaki disease. Fortunately, the misdiagnosis was discovered quickly enough that there was no long-term damage to his heart's arteries (Pritchett, 2011). With Kawasaki disease and other cardiovascular and genetic disorders, diagnostics and continued patient observation are sometimes necessary prior to determining diagnoses. In your role, you must be able to identify patient situations that require different approaches than the more typical diagnosis and treatment response.
This week you explore respiratory disorders in pediatric patients, as well as pediatric cardiovascular and genetic disorders, including the pathophysiology, epidemiology, and patient presentation. You also examine differential diagnoses for these disorders, as well as the impact of patient culture on treatment, management, and education.
Learning Objectives
By the end of this week, students will:
•Assess pediatric patients for respiratory disorders
•Assess pediatric patients for cardiovascular and genetic disorders
•Evaluate differential diagnoses for pediatric respiratory disorders
•Evaluate differential diagnoses for pediatric cardiovascular and genetic disorders
•Analyze treatment and management plans for pediatric patients with respiratory disorders
•Analyze treatment and management plans for pediatric patients with cardiovascular and genetic disorders
•Analyze strategies for educating patients and families on the treatment and management of respiratory disorders
•Analyze strategies for educating patients and families on the treatment and management of cardiovascular and genetic disorders
•Evaluate the impact of culture on the treatment and management of respiratory disorders
•Evaluate the impact of culture on the treatment and management of disorders (D/A)
•Understand and apply key terms, principles, and concepts related to respiratory disorders in pediatric patients
•Analyze the pathophysiology and epidemiology of disorders
•Analyze protocols for the management of disorders in pediatric patients
•Assess pediatric patients with signs of cardiovascular and genetic disorders
•Assess pediatric patients with signs of dermatologic disorders*
•Assess pediatric patients with signs of eye, ear, nose, and throat disorders*
•Evaluate diagnoses for pediatric patients
•Evaluate treatment and management plans
Discussion: Diagnosis and Management of Respiratory, Cardiovascular, and Genetic Disorders
Case Study 3:
HPI: A father brought his 7-year-old son with a 3-day history of cough. Dad states that his son is coughing up yellow mucus. The boy is afebrile and is sleeping through the night, but the father's sleep is disturbed listening to his son coughing. Dad says he thinks his son has bronchitis and is requesting treatment.
PE: VS: Temp 98.4, Pulse 76, respiratory rate 18, pulse ox 99%.
HEENT: there is no cervical adenopathy, nasal turbinates are slightly enlarged, and there is moderate clear rhinorrhea.
PULM: lungs are clear to auscultation, patient is able to take deep breaths without coughing.
To prepare:
•Review "Respiratory Disorders," "Cardiovascular Disorders," and "Genetic Disorders" in the Burns et al. text.
•Review and select one of the six provided case studies. Analyze the patient information.
•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
•Consider strategies for educating patients and families on the treatment and management of the respiratory disorder.
Post an analysis of your assigned case by using the following:
•What additional questions will you ask?
•Has the case addressed the LOCATES mnemonic? If not, what else do you need to ask? What additional history will you need? (Think FMH, allergies, meds, and so forth that might be pertinent in arriving to your differential diagnoses)
•What additional examinations or diagnostic tests, if any will you conduct?
•What are your differential diagnoses? What historical and physical exam features support your rationales? Provide at least 3 differentials.
•What is your most likely diagnosis and why?
•How will you treat this child?
•Provide medication treatment and symptomatic care.
•Provide correct medication dosage. Use the knowledge you learned from this week's and previous weeks' readings as well as what you have learned from pharmacology to help you with this area.
•Patient Education, Health Promotion & Anticipatory guidance:
•Explain strategies for educating parents on their child's disorder and reducing any concerns/fears presented in the case study.
•Include any socio-cultural barriers that might impact the treatment and management plans.
•Health Promotion:
•What immunizations should this child have had?
•Based on the child's age, when is the next well visit?
•At the next well visit, what are the next set of immunizations?
•What additional anticipatory guidance should be provided today?
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.
Attachment:- Reference.rar