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    Angel Lynn Ylaya
    A 3-year old boy was admitted to the pediatric ward with productive cough, fever, and difficulty breathing. He had a history of pneumonia the previous year. Examination revealed a fever, rapid breathing and wheezing. He was diagnosed with community-acquired pneumonia and prescribed antibiotics, oxygen, nebulizers, and other medications. Over the next few days his symptoms improved but wheezing persisted, so oral steroids were added. By the fourth day his wheezing had resolved and he was cleared for discharge.

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    Scenario

    Uploaded by

    Angel Lynn Ylaya
    252 views1 page
    A 3-year old boy was admitted to the pediatric ward with productive cough, fever, and difficulty breathing. He had a history of pneumonia the previous year. Examination revealed a fever, rapid breathing and wheezing. He was diagnosed with community-acquired pneumonia and prescribed antibiotics, oxygen, nebulizers, and other medications. Over the next few days his symptoms improved but wheezing persisted, so oral steroids were added. By the fourth day his wheezing had resolved and he was cleared for discharge.

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    A 3-year old boy was admitted to the pediatric ward with productive cough, fever, and difficulty breathing. He had a history of pneumonia the previous year. Examination revealed a fever, rapid breathing and wheezing. He was diagnosed with community-acquired pneumonia and prescribed antibiotics, oxygen, nebulizers, and other medications. Over the next few days his symptoms improved but wheezing persisted, so oral steroids were added. By the fourth day his wheezing had resolved and he was cleared for discharge.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    252 views1 page

    Scenario

    Uploaded by

    Angel Lynn Ylaya
    A 3-year old boy was admitted to the pediatric ward with productive cough, fever, and difficulty breathing. He had a history of pneumonia the previous year. Examination revealed a fever, rapid breathing and wheezing. He was diagnosed with community-acquired pneumonia and prescribed antibiotics, oxygen, nebulizers, and other medications. Over the next few days his symptoms improved but wheezing persisted, so oral steroids were added. By the fourth day his wheezing had resolved and he was cleared for discharge.

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    PEDIA WORD CASE SCENARIO

    On March 12, 2020 at 6:07 pm, a 3 year old boy from Brgy. 6, Pob. Malaybalay City Bukidnon is admitted
    to pediatric ward at BPMC, Malaybalay City with a complaints of productive cough, fever and difficulty of
    breathing. 4 days prior to admission, patient experienced cough associated with on and off fever. A day
    before the admission patient has difficulty of breathing, thus prompted mother to bring the patient to
    the hospital for consultation. In the Emergency Room the patient’s vital signs reveals. T- 38.1 degrees
    centigrade, RR- 58 breath per min. with difficulty of breathing, Rales and wheezing heard upon
    auscultation, PR- 127 beats per min, Height- 95 cm, weight- 15kg. With the condition of the patient he
    was admitted under the management of Dr. Madelyn P. Tirol with a medical diagnosis of Pediatric
    Community Acquired Pneumonia and was admitted.

    The patient health history reveals that he was admitted year 2018, March in Polymedic General Hospital
    with a diagnosis of Pneumonia. He has a complete immunization at his age, no known allergies to food,
    drugs, pollen or dust. His parents have no known heredofamilial disease. The patients personal history
    tells that, he was born term, in Normal Simultaneous Vaginal Delivery in the hospital with no
    complications at birth, weighing 300 grams.

    The following are the doctor’s order:

    Date Order
    March 12,2020  Please admit
    6:07pm  Secure consent to care
    Wt. 15 kg  TPR and O2 stat every 4 hours
     Diet for age with SAP
     O2 inhalation at 2 Lpm
     IVF: D5NSS 1L@ 65ml/hour
     Labs: CBC, platelet count, UA and Chest X-ray APL
     Meds:
    Paracetamol 250mg/5ml, 4ml every 4 hours PRN for fever
    Salbutamol nebule 1 neb. Now then every 6 hours
    Cefuroxime 500mg IVTT every 8 hours ANST
     I and O every shift
     refer
    March 13, 2020  start Salbutamol + Ipatropin 1 neb. Every 6 hours
    10 am  continue other meds
    (+) rales  follow up CXRAY result
    (+) wheeze  IVFTF PNSS 1L at 50 cc/hour
     refer
    March 14,2020  start Prednisone 10mg 7.5ml p.o OD at HS
    8pm  continue meds + nebulization
    (+) wheezing, known as  IVFTF PNSS 1L @ 3occ/hr
    asthmatic  refer
    March 14,2020  continue meds
    9am  Discontinue O2 inhalation
    (-) wheezing  For possible discharge
    (+ ) rales

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