Reference no: EM133385121

Scenario :

Lara, an 8-year-old girl is admitted to the pediatric unit with an acute exacerbation of bronchial asthma. She complained of increased tightness in his chest and shortness of breath (SOB) one day prior to admission. Her best peak expiratory flow (PEF) meter reading is 50% and her breathing has not improved even with the use of albuterol metered dose inhaler (MDI). On examination, Lara is alert, speaking in short sentences due to breathlessness even at rest. She has coarse expiratory wheezes throughout both lung fields with decreased breath sounds at the right base of chest. Her oxygen saturation at room air is 89%, colour is ashen and has dark circles under his eyes. She is sitting in an upright position and using respiratory accessory muscles for breathing.

1. Identify the relevant clinical data from the scenario

2. Prioritise the problems and give your rationale

3. Discuss the immediate management for Lara

4. Discuss the psychological care to Lara and her parents

5. Discuss the cultural beliefs on the disease practiced by the community

6. Discuss the spiritual support should be given to Lara and her parents. You may relate with self- adaptation model.