CASE STUDY P.6
A 7-year old, 30-kg male has been carried into your facility by an adult caregiver. You observe that the child is limp, unresponsive, and you identify cyanosis around the lips. His skin is warm and dry. He is immediately taken to an acute treatment bay and placed on the ECG monitor:
A team member quickly establishes IV access and recommends epinephrine be administered. Bag-valve-mask ventilation with 100% oxygen is initiated. You notice that the patient begins to move his extremities and that cyanosis has abated. When you glance over at the monitor you see:
The caregiver states that the child has “asthma” which coincides with the reduced breath sounds and bilateral expiratory wheezing heard when you auscultate the chest. A small volume nebulizer is employed to administer albuterol. After completion of the treatment, the child seems comfortable and his vital signs are stable. The patient’s pediatrician arrives to take over care of the patient.