Katherine Harris iHuman Case Study – HEENT and Respiratory Infections
Table of Contents
This discussion assignment offers an opportunity to discuss relevant topics for the week based on the course competencies. Ensure your initial response for the iHuman Case Study – HEENT and Respiratory Infections is posted in the Discussion Area
Support your work with readings from the course textbook and the South University Online Library. Remember to cite your sources in APA format.
Initiate your participation by reviewing and responding to classmates’ postings early in the week. Respond to at least two initial postings from your classmates. Engage in the discussion by asking questions, providing clarification, expressing a viewpoint with reasoning, challenging aspects, or indicating connections between different lines of reasoning. Cite sources when responding to other classmates. Complete your participation for the iHuman Case Study – HEENT and Respiratory Infections assignment
For this case study, you’ll engage in an iHuman case study based on course objectives and weekly content, emphasizing core learning objectives for an evidence-based primary care curriculum. Utilize iHuman cases throughout your nurse practitioner program to enhance clinical reasoning, diagnostic skills, and the development of patient care plans aligned with the latest clinical guidelines and evidence-based practice.
iHuman Case Study – HEENT and Respiratory Infections: Katherine Harris
The iHuman assignments are interactive tools integral to your learning experience. Content from iHuman cases might appear in quizzes, the midterm exam, and the final exam.
Access and navigate the iHuman platform here.
This week, complete the iHuman case titled “Katherine Harris.”
Apply insights from the iHuman Case Study to address the following questions:
- Do you recommend a limited or involved use of antibiotics in treating these diseases and other unconfirmed bacterial illnesses? Why or why not? What are the standards for antibiotic use in the pediatric population, and what assessment findings would justify prescribing antibiotics for Asthma symptoms?
- Using national guidelines and evidence-based literature, create an Asthma Action Plan for this patient.
- Do the etiology, diagnosis, and management of a wheezing child vary based on age? Explain your rationale. Which clinical findings’ objective will guide your diagnosis? Why? When is a chest x-ray indicated in this case?
iHuman Case Study – HEENT and Respiratory Infections Sample Case study i-human – Katherine Harris
Chief Complaint: Cough and Difficulty in breathing
Miss Katherine Harris, a 16-year-old student, presents with dynamic shortness of breath over the past few days. Her symptoms began four days ago with a cold, including a sore throat, rhinorrhea, and myalgia. Her schooling requires her to attend classes even in cold and damp weather. Initially fatigued, she later developed a cough and shortness of breath. The cough, initially dry, began producing yellow-green sputum within 24 hours. Katherine is used to a winter cough but mentions coughing up stuff every day. Her mother notes that she coughs and spits up each morning. Shortness of breath has worsened to the point where talking is challenging. She experiences left-sided chest pain during coughing, gets tired after climbing stairs, and reports swelling in her ankles persisting for over a year. Katherine has a history of hypertension, pneumonia, and hand infections. She has been treated for similar episodes of coughing and shortness of breath over the past two years. She was hospitalized due to excessive drinking affecting her pancreas. A previous doctor prescribed nitroglycerin.
Katherine appears older than her age, presenting as tired and anxious. She quickly becomes short of breath and exhibits cyanosis during coughing spells. Vital signs include a blood pressure of 146/82 mmHg, heart rate of 96 bpm, respiratory rate of 28/min, and temperature of 100.2°F. Extra respiratory muscle use is noted during head and neck examination. Jugular veins are distended, indicating an “a” wave. Chest examination reveals increased front-back chest dimension, heightened respiratory rate, decreased fremitus, hyper-resonance in lung fields, and reduced breath sounds. Coarse crackles, rhonchi, and wheezes are heard. Cardiovascular examination reveals split S2, louder P2, and an audible S4. Abdominal examination shows a round, soft abdomen with an enlarged and nodular prostate on rectal exam. Pitting edema is observed in both feet.
Initial tests in the emergency room show leukocytosis, high hemoglobin and hematocrit, elevated platelets, normal glucose, and altered liver function. ABGs demonstrate respiratory acidosis. Spirometry results indicate severely reduced FEV1 and FVC.
NSG 6435 Week 4 Assignment 4: SOAP Note
- Enter patient encounters into eMedley.
- Complete at least one SOAP note using the Pediatric SOAP Note template.
- Name the SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.
- Include the eMedley reference number in the document.
Discussion: iHuman Case Study – HEENT and Respiratory Infections
Initial Post: This week’s discussion focuses on relevant topics related to the iHuman Case Study – HEENT and Respiratory Infections. Use course textbook readings and the South University Online Library for support, citing sources in APA format. Post your initial response in the Discussion Area.
- Engage with classmates’ postings by asking questions, providing clarification, presenting a viewpoint with rationale, challenging aspects, or indicating relationships between reasoning lines.
- Cite sources in responses.
- Complete participation by the assignment deadline.
iHuman Case Study – HEENT and Respiratory Infections
Objective: Complete the iHuman case titled “Katherine Harris” this week. The case aims to enhance clinical reasoning, diagnostic skills, and patient care plan development based on evidence-based practices.
- Antibiotic Use: Discuss the recommendation for limited or involved antibiotic use in treating diseases and unconfirmed bacterial illnesses. Explain the standards for antibiotic use in the pediatric population and identify assessment findings warranting antibiotic prescription for asthma symptoms.
- Asthma Action Plan: Develop an Asthma Action Plan for the patient using national guidelines and evidence-based literature.
- Wheezing in Children: Explore how the etiology, diagnosis, and management of wheezing may vary based on the child’s age. Justify the choice of clinical findings guiding diagnosis and explain when a chest x-ray is indicated in this case.
NSG 6435 Week 4 Assignment 4: SOAP Note
- Enter patient encounters into eMedley weekly.
- Include at least one complete SOAP note using the Pediatric SOAP Note template.
- Submit the completed SOAP note to the Dropbox, ensuring it relates to this week’s content.
- Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.
- Include the eMedley reference number in your document.
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