37
TUTORIAL 2
1. General Learning Objective
After this tutorial the students have to be able to analyze the asthma process in children
SKENARIO 2 “Get Well Soon, My Dear”
2. Students task:
Make questions as much as possible related to the scenario
3. Method of study:
Small Group Discussion SGD employing the seven jump steps
A three year old girl is brought to the hospital with a complaint of coughing for 2 weeks. Coughing is present every night. She has also had a mild fever. Her parents have been using a
decongestantantihistamine syrup and salbutamol syrup. Initially the cough improved but it worsened over the next 2 days. She is noted to have morning sneezing and nasal congestion. She
has had similar episodes in the past, but this episode is worse. She has no known allergies to foods or medications.
Her past history is notable for eczema and dry skin since infancy. She is otherwise healthy and she is fully immunized. Her family history is notable for a brother who has asthma. In her home
environment, there are smoker her father and pets cat, chicken.
The vital sign: body temperature 38.1ºC, P 100, RR 24, BP 8565 mmHg, oxygen saturation 99 in room air. Rhonchi and occasional wheezes are heard on auscultation, but there are no
retractions.
She is initially felt to have medical problem: moderately persistent asthma and possible asthmatic bronchitis. She is initially treated with nebulized ventolin and nebulized corticosteroids for
bronchospasm and bronchial inflammation. She is also treated with an antihistamine at night to reduce his morning allergy symptoms. The nurse give her semi fowler position during stay in the
ward.
38
MINIMAL THEORETICAL QUESTION AND ALTERNATIVE ANSWER
39
TUTORIAL 3
1.General Learning Objective:
After this tutorial the students have to be able to understand formulating nursing diagnosis for respiratory system
Scenario 3
A Coughing Man
2.Students task:
Make questions as much as possible related to the scenario
3. Method of study:
Kategori