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Case study scenario

You are a Registered Nurse in the paediatric short-stay unit. Upon arrival this morning, you were given a brief handover of Joe, a 21-month-old boy, who was allocated to you. Joe was admitted yesterday through the emergency department following a four-day history of fever, coughing, copious and thick nasal secretion, lethargy, and poor feeding. Joe has a diagnosis of bronchiolitis following a respiratory syncytial virus (RSV) infection. After the handover, you decide to conduct your first observations on Joe and the following were recorded: Breath rate 57 breaths per minute, Temperature 39.5oC, Oxygen saturations 90%, heart rate 148 beats per minute, Blood pressure 105/70mmHg and Capillary refill 2-3 seconds. Joe appears restless, inconsolable, apathetic, and disinterested in his environment. You also noticed increased work of breathing, intercostal retractions and nasal flaring. Molly, his mother, says Joe is still having feeding difficulties.

Step 1: Understand the assignment task

Based on the scenario above,

• Discuss the pathophysiology of Bronchiolitis.

• Discuss the assessments you will carry out on Joe.

• Discuss how you will manage Joe.

• Explain the health education and promotion you will emphasize on discharge

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