Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Bronchiolitis case study

No description
by

Grace Allen

on 24 September 2012

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Bronchiolitis case study

Bronchiolitis Grace Allen Advanced Assessment and
Diagnostic Reasoning Meet Drew ASSESSMENT Paeadiatric Assessment Triangle Social History Respiratory Hydration Saturating at 96-98% on air
Moist cough

Work of breathing:
- Tracheal Tug
- Subcostal indrawing
- Slight nasal flaring

On Auscultation:
- Widespread crepitations
- Expiratory wheeze Focused Assessments - One breast feed that day and four yesterday
- Three wet nappies that day and one damp that day

- Warm and well perfused
- Dry mucosa
- Not crying tears Developmental stage Clinical Reasoning Actions Reflection Bronchiolitis Viral lower respiratory infection
1. Oedema
2 Constriction
3. Exudate
Respiratory Syncytial Virus
Usually affects children under 2 years

Clinical signs: cough, tachypnoea,
hyperinflation, wheeze,
increased WOB, crepitations. Management oxygen
Fluids and feeding References (University of Virginia, 2012) (University of Maryland Medical Center, 2012) - Notified Doctor

- Feed was changed from bolus to continuous

- Continuing assessment
-Fluid balance chart

- Educated family

-Cultural support

- Smoking cessation History - Immunised
- NKA
- NVD
- History of eczema
- Others with URTI at home
- Family history of asthma and eczema Our church Family Christmas Our House Drew 1100
Nursing: Pt alert, interactive. Warm and well perfused. Has had one bolus feed through NG of 65 mls EBM. Respiratory effort appears increased post feed. Subcostal and intercostal indrawing, tracheal tug. Slight nasal flaring. Widespread wheeze on expiration and crepes. Mother is concerned that he is 'getting worse'. Doctor informed.
Grace , RN1 Bronchiolitis Assessment Tool Evidence Based Recommendations 1. Breast feeds
2. Bolus feeds
3. Continuous feeds (Nagakumar & Doull, 2012) (Engel, 2006) (Starship, 2000) Social assessment (Pillitteri, 2010; Copstead & Banasik, 2010; Wood, 2010; Piedra & Stark, 2011) - Appropriate interactions within family
- Limited understanding of bronchiolitis
- Good support (Bickley, 2005) Social issues Importance of experience and knowledge Education = empowerment
Full transcript