Repeat nebulized adrenaline

You prescribe a second adrenaline nebulizer. Jack’s parents are unhappy that he is needing a second one, but agree that the first one was very effective. Jack is upset again by the nebuliser and again attempts to push the mask away. His father holds it on tight at your instructions.

 

Again Jack improves but less so than with her first nebulizer. After the nebulizer is finished you reassess him:

HR 175/min, RR 33/min, T 37.3 C, SaO2 94% in Oxygen.

His breathing has only mild sternal recession and soft added breathing sounds at rest.

 

One hour later he is deteriorating again and you decide to call the team from paediatric intensive care who attend quickly. They review him and are concerned about his airway. A cannula is sited and he is given intravenous dexamethasone and he is taken to PICU.

You hear later that he was intubated because of his breathing difficulty.

  • Presentation at Accident and Emergency

Map: TAME case 2 - Jack Horner (Tutorial 1) (317)
Node: 7840
Score:

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

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  • Assistenten forklarer at hun har ofte reagert ikke så pedagogisk mot barna og ønskes å få veiledning både fra meg og styren
  • Snakker jeg med styrer om dette
  • Mitosis
  • Sugieres que recaudemos dinero.
  • O Costas e o pai brincam juntos.
  • Επικοινωνία με το τμήμα Πληροφορικής
  • Sugieres que vayamos a tomar un café con los médicos.
  • Pater in oče se skupaj igrata.
  • Πρωτεϊνάση Κ
  • Εθανόλη
  • Assistenten forsetter å oppføre seg på samme måte og viser at hun har ikke forstått saken
  • Antibiotics-Antibiotics
  • Costas e o pai discutem.
  • Continue with clinical examination
  • Give paracetamol, observe for 6 hours then review
  • Ρυθμιστικά διαλύματα λύσης
  • Option 2
  • Ostal bo sam in žalosten.
  • Κάνετε μια οσφυονωτιαία παρακέντηση και ένα ηλεκτροεγκεφαλογράφημα
  • Antibiotics-Consultant
  • Sprl se bo z Nino.
  • Tar jeg den opp på neste avdelingsmøtet
  • Repeat nebulized adrenaline

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