Buy this article for $1.99

Have a coupon or promotional code? Enter it here:

When you buy this article you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.

Source:

Nursing2015

December 2008, Volume 38 Number 12 , p 72 - 72

Authors

  • Heather Brown-Guttovz RN, BSN
  • Farmington Hills Mich.

Abstract


Brown-Guttovz, Heather RN, BSN; Hills, Farmington Mich.

Issue: Volume 38(12), December 2008, p 72 Publication Type: [Feature: Action STAT] Publisher: © 2008 Lippincott Williams & Wilkins, Inc.

ACCOMPANIED BY HIS MOTHER, Liam O'Neill, 16, arrives at your ED complaining of difficulty breathing, coughing, and wheezing that started about 2 hours ago. He appears anxious and short of breath and can talk only in phrases. You help him to a bed and attach him to a cardiac monitor and pulse oximeter. His vital signs are: BP, 140/74; respirations, 28; temperature, 98.6° F (37° C); and SpO 2 , 90% on room air. His cardiac rhythm is sinus tachycardia at 120 beats/minute.

What's the situation?

Liam says his symptoms began shortly after arriving at a friend's house. His mother tells you Liam's friend recently acquired a cat, and Liam has a history of asthma and environmental allergies (including pet dander) since age 4. He has no known drug allergies or other medical problems. His mother tells you ...

To continue reading, buy this article for just $1.99.

Have a coupon or promotional code? Enter it here: