Erickson and Piaget

1. Accurately identify the developmental stage the patient is going through
2. Identify priority interventions for pediatric patients having respiratory difficulties (asthma versus bronchiolitis)
3. Recommend interventions for a child suffering pain

Scenario 1: Kinley Lee is an 11 year-old female with a history of asthma. DOB: 1-24-2007. She presents to Rasmussen hospital with c/o SOB. She is accompanied by her mother (Sarah) who reports Kinley was having difficulty breathing last night and “it only got worse”.
Medications: Albuterol Inhaler
Admission Vitals: T-99.1, B/P: 100/60, P-120, R-30, 02-90% RA

Pre-SIM questions
Please write a one paragraph APA formatted paper with references on the pathophysiology of Bronchiolitis.
Please write a one paragraph APA formatted paper with references on the pathophysiology of Asthma.

1. What are early s/s of respiratory failure in pediatric patients? (Select all that apply)
   a. Cyanosis
   b. Anxiety
   c. Tachypnea
   d. Bradypnea
   e. Orthopnea
   References:
2. What are the clinical differences between asthma exacerbation and bronchiolitis?
3. You are administering an albuterol nebulizer treatment to an 11-year old child. What are the assessments you must perform prior to and after the treatment?
4. What is not a contraindication for providing an albuterol nebulizer to an 11-year old patient who is not in acute respiratory distress?
   a. HR of 120
   b. Intermittent wheezing
   c. Allergy to albuterol sulfate
   d. Prior dose less than one hour ago
   References:
5. What are the developmental stages in order?
   Erickson’s Piaget?