[Solved] A 5-year-old Child Acute Bronchitis Case Study

Nursing

Hello, please complete the following case: A 5-year-old child and her mother present to your clinic. The mother reports that the child has had a cough and sounds “wheezy” for the last 2 days. She states that the child always gets like this when she is sick. She also reports that the child has complained […]

Chronic Illness Case Study

Based on the clinical presentations identified, some differential diagnoses that ought to be considered include acute bronchitis, acute asthmatic attack, and ear eczema. The patient presents ear pain, cough, wheezing that has lasted for two days, and scaly patches on her elbows and behind her knees. A cough with a wheezing sound insinuates that the patient could be having an acute asthmatic attack. During an asthma exacerbation, a patient’s airways become inflamed and swollen, which results in coughing, wheezing, and breathing difficulties. According to Jendzjowsky et al. (2018), individuals with an acute asthmatic attack present with a low peak expiratory flow, coughing, and chest tightness that causes a wheezing sound as the patient coughs. The patient could also have contracted acute bronchitis, which constitutes a contagious viral infection that causes inflammation of the bronchial tubes, which results in coughing and wheezing. Also, since the patient complained that her right ear hurts, ear eczema could be considered a differential diagnosis. The condition is characterized by pain or itchiness in the ear that spreads to the pharynx causing the patient to experience a dry cough (Lai et al., 2020, p. 722). Conducting further diagnostic tests on the patient could help rule out two of the identified differential diagnoses and develop an appropriate intervention for the potential condition.

To alleviate acute bronchitis, it would be necessary to prescribe an oral corticosteroid, such as Deltasone. The medication could help to remove the existing inflammation in the patient’s bronchial tubes and alleviate irregularities in her breathing system (Dvorin & Ebell, 2020, p. 89). Albuterol could also be administered to alleviate symptoms of an acute asthmatic attack by opening up the medium and large airways in the lungs. It would also be necessary to prescribe a topical steroid combined with an antimicrobial to alleviate inflammation in the ear or pharynx and kill foreign microorganisms in the ear. Over-the-counter hydrocortisone could help to reduce pain and swelling.

References

Jendzjowsky, N. G., Roy, A., Barioni, N. O., Kelly, M. M., Green, F. H., Wyatt, C. N., Pye, R., Tenorio-Lopes, L., & Wilson, R. J. (2018). Preventing acute asthmatic symptoms by targeting a neuronal mechanism involving carotid body lysophosphatidic acid receptors. Nature communications9(1), 1-15. https://www.nature.com/articles/s41467-018-06189-y

Lai, K., Oshinyemi, P., & Grounds, R. (2020). The painful ear. InnovAiT13(12), 722-730. https://journals.sagepub.com/doi/abs/10.1177/1755738020958028

Dvorin, E. L., & Ebell, M. H. (2020). Short-term systemic corticosteroids: appropriate use in primary care. American family physician101(2), 89-94. https://www.aafp.org/afp/2020/0115/p89.html


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Published On: 01-01-1970

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