PALS - Team Response Scenario: Maya Kwan COMPLETE SOLUTION 2022

PALS - Team Response Scenario: Maya Kwan COMPLETE SOLUTION 2022

The team notes the following in the patient's chart:Airway:

Patent airwayBreathing: Respiratory rate of 28; retractions with

breathing; breath sounds present in all fields, wheezing ad prolonged expiration noted throughout; oxygen saturation of

92%Circulation: No cyanosis/pallor noted; heart rate of 116;

blood pressure 102/61; skin warm and dryDisability:

AlertExposure: Temperature 101° F (38.3° C); weight 44

poundsBased on the rapid and primary assessment findings recorded in the patient chart and the grandparent's verbalizations, the team recognizes that Maya is experiencing a _____ asthma exacerbation. - ✔✔Maya is experiencing a moderate exacerbation of asthma. The team should start treatment to relieve her symptoms.

Joanne instructs the team to achieve IV access and administer acetaminophen, PO, to treat Maya's fever. Which first-line asthma medication would she order to administer to Maya immediately? - ✔✔Albuterol via nebulized solution.

After the first dose of albuterol is administered and a PEF is performed, Jeremy reassesses Maya and records the findings in Maya's chart. He then interviews Maya's grandparents to

collect focused history data. Match the statements given by Maya's grandparents to the correct part of the focused history (SAMPLE). - ✔✔1. When she was 3, Maya broke out in hives once after she ate scrambled eggs. A

• She was diagnosed with asthma last year. P
• Now that I think of it, she was more tired than usual

yesterday, and had a cough here and there. And she had little energy at the park today; that's definitely not like her! E

• Maya takes multivitamin every day and she uses an inhaler

when she needs it. I'm sorry, I can't remember the name of the medication. I can call her dad and ask if you'd like. M

• She felt a little warm when we got home from the park. We

made her dinner, but she didn't feel like eating. Maybe because she was having a hard time breathing? S

• Maya had a few French fries this afternoon; she's not eaten

much. And like I said, she didn't want dinner. She did drink some juice though throughout the day. L

Jeremy collects a syringe to prepare the prednisolone dose for Maya. Which of the following is the correct oral dose of prednisolone (5 mL/15 mg) to administer to Maya, based on her weight of 44 lbs? - ✔✔The correct dose of prednisolone (5 mL/15 mg) to give to Maya is 6.6 mL.

Using critical thinking and assessment data, what equipment should Julie collect for Maya's labs? - ✔✔Maya's labs include a sputum culture container, butterfly needle, blood collection tubes and blood culture containers.