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This scenario seems to describe a medical situation involving a child named Brandon Spears, 56"80 pounds who has a tracheostomy and respiratory issues, and his primary caregiver (likely a family member) is reporting a problem. Here's a breakdown of the information provided and the recommended steps to address the situation: Patient Information: Name: Brandon Spears Condition: History of being a premature baby (30 weeks), Bronchopulmonary Dysplasia (BPD), has had a tracheostomy since he was 2 years old. Initial Vital sign: Heart rate - 108 Respiratory rate - 28 Blood pressure - 132/86 Oxygen sat. - 89% on 2L of oxygen Allergy: Codeine (causes rash) Home care regimen: Uses CPAP at night for breathing support and is on a pulmonary home-care regimen. Current Symptoms: Brandon was laughing while eating or drinking, choked, and is experiencing persistent coughing fits. Current Situation: The caregiver attempted to suction him but did not see any improvement in his coughing. The caregiver provided 2L oxygen (likely via the tracheostomy) but still wants a nurse to visit for further assessment. Current Vital sign: Heart rate - 88 Respiratory rate - 18 Blood pressure - 114/70 Oxygen sat. - 100% on 2L of oxygen.
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