NGN Case Study: Pediatric Asthma Walkthrough
Severe pediatric asthma exacerbation from arrival through admission.
Peds asthma case tests severity assessment and treatment escalation.
Presentation
6 y/o known asthmatic. Wheezing, retractions, RR 40, SpO2 88%. Pre-hospital albuterol given without much improvement.
Recognize
Severe exacerbation. Failed pre-hospital treatment.
Action
Continuous nebulized albuterol + ipratropium. IV steroids (methylprednisolone). Magnesium IV. Oxygen. Consider epi IM. Possible BiPAP or intubation if worsening.
Evaluate
Decreased work of breathing, improved SpO2, audible breath sounds.
Discharge teaching
Asthma action plan. Spacer technique. Trigger avoidance. Follow-up.
Frequently asked
Silent chest, concern?
Yes, impending respiratory failure. Don't be reassured by quiet.
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