Understanding of Pathophysiology and Pharmacology – Benji Smith Case Study Nursing Assessment Answer

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Benji Smith Case Study Nursing Assessment Answer

Task:-

Clinical Scenario 2 – Benji Smith

Benji is an 11-year-old boy with asthma diagnosed at age 7. His usual asthma treatment is salbutamol 2 puffs prn. For the last week, Benji has been experiencing an upper respiratory tract infection (bacterial) with unresolved cough and breathlessness. He has been taking cough syrup and salbutamol 2 puffs every 4 hours but this has not improved his symptoms.

Admission to the ED Benji presented to a hospital with a moderate exacerbation of asthma. On presentation,
he was speaking in phrases and had an audible wheeze. His mother who was also present provided a history of Benji’s asthma. Both Benji and his mother initially reported that Benji was well until he caught a cold. However, when probing specifically about his asthma symptoms and overall control Benji acknowledged that he had difficulty playing sport especially during his soccer games on Saturdays; he wheezed and coughed when laughing, he avoided running around with his mates to prevent symptoms.
30 minutes after admission Benji’s mother alerts medical staff to assist as Benji appears to be in increased distressed with increased agitation/distress, tracheal tug and moderate accessory muscle use is tachycardic and is only able to speak in single words with great difficulty.
Admission observations
Temperature: 38.6 degrees C
Pulse rate: 110 beats per minute
Respiratory rate: 24 breaths per minute
SpO2 94% on room air
30 Minutes post admission
Temperature: 38.4 degrees C
Pulse rate: 130 beats per minute
Respiratory rate: 30 breaths per minute
SpO2 90% on air
Medical orders
Salbutamol 100 µg 12 puffs via a metered dose inhaler (MDI) 20 minutely for 3 times
Oral Prednisolone 1mg/kg (maximum 60mg) initially continuing for 1 – 2 days
If SpO2 under 93% administer 2L of oxygen
Ipratropium 8 puffs (20µg/puff) – immediately after each Salbutamol dose via a spacer (20
minutely for 3 times).

The detailed explanation of Pathophysiology and Pharmacology related to the case-patient
• Demonstrate a clear understanding of the pathophysiology of the patient in the case study.
• Identify the correct anatomy and physiology of the disease of the patient in the case study and link this to the pathophysiology behind the disease of the patient in the case study.
• Demonstrate a clear understanding of the pharmacology prescribed to the patient in the case study.
• Discuss the pharmacokinetics and pharmacodynamics of the pharmacology for the patient in the case study.

Discussion of (3) medications related to the Pathophysiology of the patient in the case-patient.
• Identify three (3) appropriate signs/symptoms as related to the patient in the case study.
• Accurately explain these three (3) signs/symptoms as related to the patient in the case study.
• Display a clear, succinct understanding of the signs/symptoms and their connection to the pathophysiology of
disease as appropriate to the patient in the case study.
• Identify three (3) relevant pharmacological (medications) interventions as presented in the case study.
• Accurately explain these three (3) medications as related to the patient in the case study.
• Display a clear, succinct understanding of the signs/symptoms and their connection to the pharmacology of
disease as appropriate to the patient in the case study – including the discussion regarding ADME.

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