Transcript case study - Bakersfield College

Presented By:
Lisa Iacopetti, Angela Bravo,
Caroline Muraguri, Dominic Cruz
SYMPTOMS
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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
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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
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Rapid Breathing
Rapid Heartbeat
Drawing in of the neck – (Retractions)
Flaring of the Nostrils
Irritability
Pneumonia
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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
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Coughing
Wheezing
Shortness of Breath
Change in color, like bluish or gray in the
lips and fingernails