Question Answered step-by-step I need a reflective journal for Greg Smith. Simulation: Asthma;… I need a reflective journal for Greg Smith.Simulation: Asthma; Focused Respiratory Assessment of the childStudent Learning Objectives:1. Notifies interdisciplinary team members with any concerns or questions. Implement therapeutic communication and SBAR report.2. Performs effective nursing respiratory assessment of a child.3. Recognize the signs and symptoms of asthma.4. Prioritizes nursing interventions5. Demonstrate effective teamwork.6. Provides patient/family education and teaching.7. Calculate weight-based dosing medication and administer medications safely.Skills to Review:1. Signs and symptoms of respiratory distress in children.2. Respiratory assessment of a child.3. Administration of oxygenation and calculation of correct intravenous fluids. 4. Administration of prescribed asthma medications.Prepare for Scenario: vSim for Sabina Vasquezo Complete pre-sim check-your-knowledge quiz and care for Sabina prior to the simulation scenario? The vSim score goal is a minimum score of 80%? Complete the post simulation quiz o Be prepared to discuss the reflection questions in the debriefing of the simulationAdditional Preparation:Textbook material: Pearson Volume 1 Module 15 & 15.B; Volume 3 Chapter 11 Oxygenation; ATI Clinical skills 2.0 Pediatric Respiratory AssessmentReview the Patient Scenario InformationReview Prescribed AdmissionAnswer the following Scenario Prep Questions listed belowStudent Preparation for Live Simulation: Greg Smith AsthmaPatient information: Greg Smith is a 6-year-old maleWeight: 48 lbs. Convert to kg (round to nearest 10th)- No Known Drug Allergies (NKDA)DOB: 09/25/20XXMR#: 397852History of Present Problem:Greg has a history of moderate persistent asthma. His last exacerbation was 3 months ago. According to his mother he has had a runny nose that worsened overnight with onset of wheezing and difficulty breathing. He lives at home with mom, dad and 10-year old sister and one dog. He attends the first grade. He has no known drug allergies and is up to date with all immunizations.History of Present Complaint to ER: Greg had a 2-day history of URI symptoms that worsened overnight. Mom went into Greg’s room to check on him at bedtime and noticed that he was having difficulty breathing and she could hear wheezing. Mom gave him a dose of albuterol via home nebulizer machine and then put him in the car and brought him to the ER. On a daily basis Greg’s home medication are: Montelukast (Singulair®) 1 tablet (5 mg) PO daily in the evening Fluticasone 44 mcg (Flovent®) 2 puffs 2 times daily Albuterol inhaler 2 puffs (180 mcg) PRN wheezing every 4-6 hours OR Albuterol nebulizer 2.5 mg/3 mL NS (1 bullet) q 4-6 hours PRN wheezing II. Patient Care Flowsheet:Current VS: What are normal VS for a 6 year old? T: 101 oF (ax) P: 110 Apical R: 45 BP: 105/70 Left arm O2 sat: 89% RA Moderate Retractions Pain Assessment Which Scale would we use for this age? Current Assessment:GENERAL APPEARANCE: Resting in bed c/o of his chest hurting to breath, pain 6-7/10.RESP: Breath sounds wheezes throughout all lobes, labored respiratory effort, retractions; supra, substernal, and supraclavicular.CARDIAC: Pink, warm & dry, no edema, heart sounds regular, pulses strongNEURO: Alert & oriented to person, place, time, and situation (x4), age appropriateGI: Abdomen soft/non-tender, bowel sounds audible per auscultation in all four quadrants. Last BM x 1 day ago.GU: Voiding without difficulty, urine clear/yellow, and last void was 4 hours ago.SKIN: Skin warm, dry, intact. IV site clean/dry/intact. No redness or pain at site. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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