Case Study History & Physical: From the ER: 12-year-old male…
Case Study History & Physical: From the ER: 12-year-old male who was directed admitted to the pediatric unit from the physician’s office for a 48-hour history of nonproductive cough, fever, and a decreased appetite and decreased fluid intake. PMH: No past medical history. Immunizations up to date with exception of influenza. Allergy: PCN Ht. 4’11” (150cm), Wt. 90 lbs. (40.8 Kg) BMI 18.2 Provider Admission Orders: Admit to pediatric floor with possible pneumonia VS every 4 hours Oxygen 2-4L/NC to maintain sats >94% Continuous pulse ox Regular diet as tolerated Up ad lib Intake and output Daily weights Nebulizer treatments with albuterol 2 mg PRN every 4 hours Antibiotic: ceftriaxone 200 mg IV every 24 hours acetaminophen 650 mg PO PRN every 4 hours for temp >101.5 methylprednisolone 40 mg IV every 6 hours IVF D5 1.2 NS at 100 ml/hr Incentive spirometer at bedside, encourage use of 10x/hour Chest X-ray on admission Sputum culture on admission Admission Note: 1000: Patient admitted to floor. Alert and oriented x3. Child is irritable. Child states slightly short of breath. Crackles auscultated bilateral posterior bases. No use of accessory muscles for breathing. Temperature: 102.3 F (38.5); Pulse 100; Respiratory Rate 26; B/P 130/86; Oxygen Saturation is 92%; continuous pulse oximetry in place. HOB elevated. Mother states child has not voided since last night. Skin turgor is poor; mucous membranes dry; face flushed. Incentive spirometer at bedside. A patient is going to be discharged with nebulizer treatments with albuterol. The nurse is providing parents with education concerning proper use of a nebulizer. What information should be included? Select all that apply.