CASE STUDY Presented By: Lisa Iacopetti, Angela Bravo, Caroline Muraguri, Dominic Cruz
SYMPTOMS • COUGHING • WHEEZING • APPEARS TO BE SLIGHTLY BLUE • TEMPRATURE 100 F.
ADDITIONAL QUESTIONS • How long have the symptoms been going on? • Has she ever been diagnosed with any type of Respitory Disease? • Does she have any known allergies to foods, medications, dust, or animals? • Is she currently taking any medication? • Has she been sick with a cold or flu? • Are there any animals in the home? • Has she been exposed to any toxins such as bug spray, smoke, or paint fumes? • Did she perform any type of strenuous activity? • Are her immunizations up to date?
DIFFERENTIAL DIAGNOSIS • Acute Asthma Episode • Severe Allergic Reaction (Anaphylaxis) • Pneumonia • Pertussis • Bronchitis
LAB TESTS TO BE ORDERED • Peak Flow Meter • This measures the amount of air a person can blow out of their lungs
TESTS • Pulse Oximtry • This determines the patient’s oxygen saturation levels
TESTS • Chest X-Ray • To evaluate if the lungs are clear
TESTS • CBC • Complete Blood Count
TESTS • ABG • Asses disturbances of acid-based imbalances caused by a respitory disorder
Pertussis • Cold Symptoms • Severe Cough for 1-2 months • Possible vomiting after a coughing spell
Bronchitis • Rapid Breathing • Rapid Heartbeat • Drawing in of the neck – (Retractions) • Flaring of the Nostrils • Irritability
Pneumonia • Fever of 102 + • Chills • Cough • Rapid Breathing • Wheezing • Chest Pain • Abdominal Pain • Loss of Appetite • Extreme cases bluish or gray color to lips and nails
Severe Allergic Reaction • Difficulty in Breathing • Shock • Generally a reaction must involve at least 2 different body systems such as Integumentry and Cardiovascular.
Acute Asthma Episode • Coughing • Wheezing • Shortness of Breath • Change in color, like bluish or gray in the lips and fingernails