Word CountThere is a word limit of 1250 words. Use your computer to total the number of words used in your assignment.However, do not include the reference list at the end of your assignment in the word count. In-text citations will beincluded in the additional 10% word count. If you exceed the word count by 10% (1375 words) the marker will stopmarkingAim of assessmentThe aim of this assessment is to enable students to: Demonstrate knowledge by analysing the information provided in the case study.Apply the clinical information provided in the case study and describe this clinical information within a patho-physological and patient focused framework.Discuss nursing strategies and evidence based rationales to manage a patient with an acute episode of asthma.Discuss the pharmacological interventions related to the management of a patient with an acute episode of apatient episode of asthma.DetailsYou are to answer all questions related to the case study provided. Your answers must be directly related to theclinical manifestations that your patient presents with. You must submit your work with a minimum of six refer-ences from the past 5 years including journal articles, textbook material or other appropriate evidence based resources.Case studyPeter is a 10 year old male, weight 45Kg.He presented to ED with worsening respiratory symptoms over the past few hours. His parents state he is unable totalk in full sentences or undertake a peak flow. In ED Peter has been given 3 x 20 minutely nebulised Salbutamol with6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lungfields. He was admitted to ICU due to his deteriorating respiratory function with a diagnosis of acute exacerbationof asthma.EXCERPT OF RELEVANT ICU NOTESPast HistoryDiagnosed with asthma age 3 (infrequent intermittent asthma).Current medications: – Ventolin PRN. IUTD (immunisations up to date)Nursing AssessmentA. Clear, speaking in single wordsB.RR 43bpm, SpO2 87% RA, 92% on 6LPM 02 + nebuliser, auscultation decreased AE bibasally, inspiratory andexpiratory wheezeC. HR 162bpm, ST, peripherally warmD. GCS 14/15 (E4, V4, M6)E. Accessory muscle use, shoulder shrugging on inspiration, tracheal tugF. IVF NaCl 54 ml/hr
