Case:Chronic Lung Disease

Case:Chronic Lung Disease

Week 4 discussion

Week 4 Threaded Discussion Question 1 of 2

You are assessing a 10 month-old boy. Jason requires continuous portable oxygen via nasal prongs at 0.5 L/min. His mother understands Jason has a chronic lung disease. She has tried to wean the baby from the oxygen during the nighttime but she tells you Jason’s O2 saturation will drop to 90% and his respiratory rate will increase. The baby was born at 27 weeks gestation, weighed 960 g at birth and was ventilated for the first 14 days of life. He has been on continuous oxygen since birth.

There is a student nurse observing today. Outside the exam room, she asks you if the baby has asthma. How will you respond? Provide rationales for your responses.

Which chronic lung disease does Jason have? What would you be concerned about as the baby gets older?

Week 4 Threaded Discussion Question 1 of 2

Megan is a 16-year-old girl presents to the ED with complaints of a headache, sore throat, chills, malaise, and fatigue for the past week. On physical examination, you assess she has an enlarged liver and spleen, and she has enlarged lymph nodes in the anterior and posterior chains of her neck. Her CBC results indicate her leukocyte count is very high at 18,000cells/ ?L. Megan states three other kids at school have been sick this past week with similar symptoms.

Why is Megan’s immune system reacting this way?

Megan tells you she is afraid she will die because one of the students who had the same disorder told her, “We are going to have this all our lives.” What can you say to relieve her fears?

You are assessing a 10 month-old boy. Jason requires continuous portable oxygen via nasal prongs at 0.5 L/min. His mother understands Jason has a chronic lung disease. She has tried to wean the baby from the oxygen during the nighttime but she tells you Jason’s O2 saturation will drop to 90% and his respiratory rate will increase. The baby was born at 27 weeks gestation, weighed 960 g at birth and was ventilated for the first 14 days of life. He has been on continuous oxygen since birth.