Case Study Question 3 of 3A previously healthy 10 yo female…
Case Study Question 3 of 3A previously healthy 10 yo female presents with respiratory distress anddehydration. Upon physical assessment, you note the following:• Ill appearing, diaphoretic, with increased work of breathing, RR 30. Abdominalretractions noted with pulse oximeter 96%• Lung sounds diminished on right side compared to left• BP 90/50. HR 150. Cap refill 3-4 seconds• Patient has had cough/congestion starting 2 weeks ago. Patient has had fevers in thelast few days up to 102 degrees F. Family denies their child has had polyuria or polydipsia. Labwork: ABG: pH 7.29, pO2 60, pCO2 49, bicarb 26 Na+ 133, K+ 4.5, Cl- 101, CO2, 17, Glucose 190, lactate 5.6 CXR: One hour after admission, the child’s O2 saturations drop below 90%; child is placed on high flow nasal cannula oxygen and a nebulizer treatment is administered. The pediatric intensivist writes respiratory and sepsis protocol orders for this child. Identify the orders below as appropriate or not appropriate for this patient.
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