https://batesvisualguide-com.dyc.idm.oclc.org/MultimediaPlayer.aspx?multimediaid=14727420

Objectives

At the end of the case study, the nurse practitioner student will be able to

1. Obtain a history relevant to the patient’s complaint of difficulty breathing.

2. Identify differential diagnoses following the history and physical exam.

3. Discuss the pathophysiology involved in the disease asthma.

4. Classify the patient’s asthma according to the National Asthma Education & Prevention

Report.

5. Develop a treatment plan that includes pharmacologic and non-pharmacologic measures.

6. Discuss teaching and follow-up instructions to be provided to the patient and parent.

Instructions

The entire class will view the case study video, following along with the history, physical exam,

differential diagnoses and potential diagnostics.

You will then complete a written assignment regarding childhood asthma.

You must reference your sources using APA format, and one of your references must be your Burns “Pediatric Primary Care” textbook.

Written Assignment

1. Give a brief synopsis of the pathophysiology involved in the diagnosis of asthma.

2. Classify the patient’s asthma according to the National Asthma Education & Prevention

Report as intermittent, mild persistent, moderate persistent, severe persistent. You

must explain your decision based on the patient’s history and physical exam.

3. Come up with a treatment plan for the patient including pharmacologic and nonpharmacologic

therapies. Medications require proper dosing using prescriptive format.

4. What teaching and follow-up instructions would you provide to the patient and his

mother regarding the diagnosis and treatment plan including signs of worsening and

instructions on what to do?

References

Bickley, L. S. (2021).
Bates’ guide to physical examination and history taking. (13th ed., pp.152–154). Philadelphia: Lippincott Williams & Wilkins.

Burns, C. E., Dunn, A. M., Brady, M. A., Barber Starr, N., Blosser, C. G., & Garzon, D. L. (2019). Pediatric primary care (7th ed.). Saunders.